Morales-Gómez Jesús A, Garza-Oyervides Vicente V, Arenas-Ruiz José A, Mercado-Flores Mariana, Elizondo-Riojas C Guillermo, Boop Frederick A, de León Ángel Martínez-Ponce
Servicio de Neurocirugía and.
Centro Universitario de Imagen Diagnóstica, Hospital Universitario "Dr. José Eleuterio González," Monterrey, Nuevo León, México; and.
J Neurosurg Pediatr. 2017 Mar;19(3):307-311. doi: 10.3171/2016.9.PEDS16458. Epub 2017 Jan 6.
Intracranial pial arteriovenous fistulas, also known as nongalenic fistulas, are rare vascular malformations affecting predominantly the pediatric population. Hydrocephalus is an unusual presentation in which the exact pathophysiology is not fully understood. The aim of treatment in these cases is occlusion of the fistula prior to considering ventricular shunting. Here, the authors describe the hydrodynamic considerations of the paravascular pathway and the resolution of hydrocephalus with endovascular treatment of the fistula.
颅内软膜动静脉瘘，也称为非盖伦型瘘，是一种罕见的血管畸形，主要影响儿童人群。脑积水是一种不常见的表现，其确切的病理生理学尚未完全了解。这些病例的治疗目标是在考虑脑室分流之前闭塞瘘管。在此，作者描述了血管周围途径的流体动力学考虑因素以及通过瘘管的血管内治疗解决脑积水的情况。
