Hung Po-Cheng, Wang Huei-Shyong
Division of Pediatric Neurology, Chang Gung Children's Hospital, College of Medicine, Chang Gung University, Kwei-Shan, Taoyuan, Taiwan.
Pediatr Neurol. 2002 Oct;27(4):300-2. doi: 10.1016/s0887-8994(02)00424-1.
Childhood intracranial varix is rare and has been associated mostly with vein of Galen fistula or arteriovenous malformation. We present one patient with intracranial arteriovenous fistula with concomitant giant varix in a child. We treated the patient with endovascular embolization and obtained complete closure of fistula without morbility and mortality. The main radiologic and pathophysiologic features of this unusual entity, as well as the available therapeutic options, are discussed.
儿童颅内静脉曲张较为罕见,大多与大脑大静脉瘘或动静脉畸形相关。我们报告了一名患有颅内动静脉瘘并伴有巨大静脉曲张的儿童患者。我们采用血管内栓塞术对该患者进行治疗,实现了瘘口的完全闭合,且未出现并发症和死亡情况。本文讨论了这一罕见病症的主要放射学和病理生理学特征,以及现有的治疗选择。