Dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8-month-old child: A case report
Dural arteriovenous fistulas (DAVFs) are direct communication between the dural arterial and venous systems. They are more common in adults. In children, they are relatively rare. Hydrocephalus is a common problem in pediatrics with a variety of causes. However, very few cases of hydrocephalus as a...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | Brain Circulation |
| Subjects: | |
| Online Access: | http://www.braincirculation.org/article.asp?issn=2394-8108;year=2023;volume=9;issue=1;spage=39;epage=43;aulast=Ndandja |
| _version_ | 1797824461204881408 |
|---|---|
| author | Dimitri T K. Ndandja Gerald Musa Rossi E C. Barrientos Matvey I Livshitz Suzy N J. Manko Gennady E Chmutin Hovrin V Dmitri Bupe M Mwela Slabov V Mihail |
| author_facet | Dimitri T K. Ndandja Gerald Musa Rossi E C. Barrientos Matvey I Livshitz Suzy N J. Manko Gennady E Chmutin Hovrin V Dmitri Bupe M Mwela Slabov V Mihail |
| author_sort | Dimitri T K. Ndandja |
| collection | DOAJ |
| description | Dural arteriovenous fistulas (DAVFs) are direct communication between the dural arterial and venous systems. They are more common in adults. In children, they are relatively rare. Hydrocephalus is a common problem in pediatrics with a variety of causes. However, very few cases of hydrocephalus as a complication of DAVF have been reported in the literature. This case describes an 8-month-old male child with a large DAVF at the torcular herophili who presented with regression of milestones and hydrocephalus. Magnetic resonance imaging (MRI) on admission showed triventricular hydrocephalus and a massively dilated torcular with a compressed fourth ventricle. Angiography confirmed the presence of a DAVF at the torcula with arterial feeders from the posterior circulation. Endovascular embolization was performed with >80% embolization of the fistula with no complications. Control MRI immediately postoperative was acceptable. No cerebrospinal fluid (CSF) diversion was performed. At a 3-month follow-up, the child had attained all developmental milestones for age. MRI showed normal CSF dynamics and a further reduction in the size of the torcula. Despite being rare, DAVFs should be considered as a possible cause of pediatric hydrocephalus, and treating them can lead to a resolution of the mechanisms inducing hydrocephalus. CSF shunting should be reserved for those cases with persistent hydrocephalus and raised intracranial pressure despite endovascular treatment. |
| first_indexed | 2024-03-13T10:39:19Z |
| format | Article |
| id | doaj.art-baf8c9f71d374a7c955bdc4c8244d28a |
| institution | Directory Open Access Journal |
| issn | 2455-4626 |
| language | English |
| last_indexed | 2024-03-13T10:39:19Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Brain Circulation |
| spelling | doaj.art-baf8c9f71d374a7c955bdc4c8244d28a2023-05-18T05:05:50ZengWolters Kluwer Medknow PublicationsBrain Circulation2455-46262023-01-0191394310.4103/bc.bc_71_22Dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8-month-old child: A case reportDimitri T K. NdandjaGerald MusaRossi E C. BarrientosMatvey I LivshitzSuzy N J. MankoGennady E ChmutinHovrin V DmitriBupe M MwelaSlabov V MihailDural arteriovenous fistulas (DAVFs) are direct communication between the dural arterial and venous systems. They are more common in adults. In children, they are relatively rare. Hydrocephalus is a common problem in pediatrics with a variety of causes. However, very few cases of hydrocephalus as a complication of DAVF have been reported in the literature. This case describes an 8-month-old male child with a large DAVF at the torcular herophili who presented with regression of milestones and hydrocephalus. Magnetic resonance imaging (MRI) on admission showed triventricular hydrocephalus and a massively dilated torcular with a compressed fourth ventricle. Angiography confirmed the presence of a DAVF at the torcula with arterial feeders from the posterior circulation. Endovascular embolization was performed with >80% embolization of the fistula with no complications. Control MRI immediately postoperative was acceptable. No cerebrospinal fluid (CSF) diversion was performed. At a 3-month follow-up, the child had attained all developmental milestones for age. MRI showed normal CSF dynamics and a further reduction in the size of the torcula. Despite being rare, DAVFs should be considered as a possible cause of pediatric hydrocephalus, and treating them can lead to a resolution of the mechanisms inducing hydrocephalus. CSF shunting should be reserved for those cases with persistent hydrocephalus and raised intracranial pressure despite endovascular treatment.http://www.braincirculation.org/article.asp?issn=2394-8108;year=2023;volume=9;issue=1;spage=39;epage=43;aulast=Ndandjacerebral vascular malformationsconfluence of sinusesdura arteriovenous fistuladural arteriovenous fistulasembolizationhydrocephalus |
| spellingShingle | Dimitri T K. Ndandja Gerald Musa Rossi E C. Barrientos Matvey I Livshitz Suzy N J. Manko Gennady E Chmutin Hovrin V Dmitri Bupe M Mwela Slabov V Mihail Dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8-month-old child: A case report Brain Circulation cerebral vascular malformations confluence of sinuses dura arteriovenous fistula dural arteriovenous fistulas embolization hydrocephalus |
| title | Dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8-month-old child: A case report |
| title_full | Dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8-month-old child: A case report |
| title_fullStr | Dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8-month-old child: A case report |
| title_full_unstemmed | Dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8-month-old child: A case report |
| title_short | Dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8-month-old child: A case report |
| title_sort | dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8 month old child a case report |
| topic | cerebral vascular malformations confluence of sinuses dura arteriovenous fistula dural arteriovenous fistulas embolization hydrocephalus |
| url | http://www.braincirculation.org/article.asp?issn=2394-8108;year=2023;volume=9;issue=1;spage=39;epage=43;aulast=Ndandja |
| work_keys_str_mv | AT dimitritkndandja duralarteriovenousfistulaofthetorcularherophilipresentingwithhydrocephalusandvenouscongestioninan8montholdchildacasereport AT geraldmusa duralarteriovenousfistulaofthetorcularherophilipresentingwithhydrocephalusandvenouscongestioninan8montholdchildacasereport AT rossiecbarrientos duralarteriovenousfistulaofthetorcularherophilipresentingwithhydrocephalusandvenouscongestioninan8montholdchildacasereport AT matveyilivshitz duralarteriovenousfistulaofthetorcularherophilipresentingwithhydrocephalusandvenouscongestioninan8montholdchildacasereport AT suzynjmanko duralarteriovenousfistulaofthetorcularherophilipresentingwithhydrocephalusandvenouscongestioninan8montholdchildacasereport AT gennadyechmutin duralarteriovenousfistulaofthetorcularherophilipresentingwithhydrocephalusandvenouscongestioninan8montholdchildacasereport AT hovrinvdmitri duralarteriovenousfistulaofthetorcularherophilipresentingwithhydrocephalusandvenouscongestioninan8montholdchildacasereport AT bupemmwela duralarteriovenousfistulaofthetorcularherophilipresentingwithhydrocephalusandvenouscongestioninan8montholdchildacasereport AT slabovvmihail duralarteriovenousfistulaofthetorcularherophilipresentingwithhydrocephalusandvenouscongestioninan8montholdchildacasereport |