Introduction: Pial arteriovenous fistulas (pAVF) are rare vascular malformations, especially in children and newborns. In neonates, the most common symptom is congestive heart failure.
Case Presentation: We report a case of an asymptomatic preterm newborn incidentally diagnosed with pAVF during a routine cranial ultrasound (cUS) on the third day of life. Cerebral magnetic resonance (MRI) confirmed the diagnosis. A wait-and-see approach was chosen by the multidisciplinary team. The cUS and the MRI on day 14 of life showed the spontaneous resolution of the lesion.
Conclusions: This case underlines the challenges in identifying pAVF in the first weeks of life and demonstrates a possible positive outcome for affected neonates.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10024657 | PMC |
| http://dx.doi.org/10.1007/s00381-022-05652-y | DOI Listing |
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Article Synopsis
- Intracranial vascular malformations (IVMs) are complex conditions in pediatric medicine that pose significant diagnostic and treatment challenges due to their rare occurrence and potential serious neurological effects.
- The article focuses on various types of pediatric IVMs, including nidal arteriovenous malformations, cavernous malformations, capillary telangiectasias, and developmental venous anomalies, emphasizing the need for advanced imaging and effective treatment strategies.
- Additional types of malformations, such as vein of Galen malformations and dural sinus malformations, will be covered in separate articles, along with discussions on imaging techniques and clinical considerations.
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