Posterior dural arteriovenous malformations in infancy

A. L. Albright, Richard E Latchaw, R. A. Price

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

A 23-month-old infant with an extensive dural arteriovenous malformation (AVM) developed a heart murmur and cardiomegaly. The AVM involved the occipital and suboccipital dura mater and the tentorium, bilaterally. We embolized the AVM with Gelfoam and polyvinyl alcohol particulates, subtotally resected it, and embolized residual vessels with isobutyl cyanoacrylate. In spite of this extensive therapy, the malformation was not totally eradicated and an occipital pial AVM developed. This infant and the eight infants with posterior dural AVMs reported previously emphasize the difficulty of eradicating these lesions in infancy. We contrast the clinical features and therapy of infants and adults with posterior dural AVMs. Infants develop heart failure and cranial bruits because of arteriovenous shunts, whereas adults complain of headache and intracranial bruits. Infants need therapy to prevent progressive heart failure, intracranial hypertension, and perhaps cerebral ischemia. Ligation of arterial tributaries is inadequate therapy for these lesions. Embolization and resection of the malformation, when feasible, offers the best chance of curing posterior dural AVMs with extensive arterial tributaries.

Original languageEnglish (US)
Pages (from-to)129-135
Number of pages7
JournalNeurosurgery
Volume13
Issue number2
StatePublished - 1983
Externally publishedYes

Fingerprint

Arteriovenous Malformations
Bucrylate
Heart Failure
Absorbable Gelatin Sponge
Heart Murmurs
Polyvinyl Alcohol
Dura Mater
Intracranial Hypertension
Cardiomegaly
Therapeutics
Brain Ischemia
Ligation
Headache

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Albright, A. L., Latchaw, R. E., & Price, R. A. (1983). Posterior dural arteriovenous malformations in infancy. Neurosurgery, 13(2), 129-135.

Posterior dural arteriovenous malformations in infancy. / Albright, A. L.; Latchaw, Richard E; Price, R. A.

In: Neurosurgery, Vol. 13, No. 2, 1983, p. 129-135.

Research output: Contribution to journalArticle

Albright, AL, Latchaw, RE & Price, RA 1983, 'Posterior dural arteriovenous malformations in infancy', Neurosurgery, vol. 13, no. 2, pp. 129-135.
Albright, A. L. ; Latchaw, Richard E ; Price, R. A. / Posterior dural arteriovenous malformations in infancy. In: Neurosurgery. 1983 ; Vol. 13, No. 2. pp. 129-135.
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