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Case Report 


Surgical management of a large pediatric temporal pial arteriovenous fistula: Case report

Kanneganti Vidyasagar, Narayanam Anantha Sai Kiran , Laxminadh Sivaraju, Vivek Raj, Alangar S Hegde.

Abstract
Pediatric nongalenic pial AVFs are extremely uncommon and endovascular embolization is the preferred treatment option for these lesions at many centers. Endovascular embolization is extremely expensive in developing countries. Excellent outcomes and high cure rates have been reported with microsurgery for pial AVFs and is a cost effective treatment option compared to endovascular embolization in developing countries. Successful surgical management of a pediatric temporal pial AVF is described in this report supplemented with operative video of the case. A 17 yrs old boy presented with history of head ache and left hemiparesis for past 6 months. MR imaging revealed a large flow void in the right temporal region with mass effect. DSA revealed a large pial AVF with a large feeder from MCA and drainage into superior sagittal sinus and transverse sinus. Right frontotemporal craniotomy and excision of pial AVF was performed. Postoperative course was uneventful. Postoperative DSA revealed complete excision of AVF. Left hemiparesis gradually improved after surgery and at a follow-up of 7 months child was asymptomatic with no neurological deficits.

Key words: endovascular embolization, microsurgery for pial AVFs, pediatric pial AVFs, steal phenomenon, venous varix


 
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How to Cite this Article
Pubmed Style

Vidyasagar K, NASK, Sivaraju L, Raj V, Hegde AS, . Surgical management of a large pediatric temporal pial arteriovenous fistula: Case report. NMJ. 2021; 10(2): 47-49. doi:10.5455/nmj/00000213


Web Style

Vidyasagar K, NASK, Sivaraju L, Raj V, Hegde AS, . Surgical management of a large pediatric temporal pial arteriovenous fistula: Case report. https://www.narayanamedicaljournal.com/?mno=33829 [Access: April 06, 2022]. doi:10.5455/nmj/00000213


AMA (American Medical Association) Style

Vidyasagar K, NASK, Sivaraju L, Raj V, Hegde AS, . Surgical management of a large pediatric temporal pial arteriovenous fistula: Case report. NMJ. 2021; 10(2): 47-49. doi:10.5455/nmj/00000213



Vancouver/ICMJE Style

Vidyasagar K, NASK, Sivaraju L, Raj V, Hegde AS, . Surgical management of a large pediatric temporal pial arteriovenous fistula: Case report. NMJ. (2021), [cited April 06, 2022]; 10(2): 47-49. doi:10.5455/nmj/00000213



Harvard Style

Vidyasagar, K., , N. A. S. K., Sivaraju, L., Raj, V., Hegde, A. S. & (2021) Surgical management of a large pediatric temporal pial arteriovenous fistula: Case report. NMJ, 10 (2), 47-49. doi:10.5455/nmj/00000213



Turabian Style

Vidyasagar, Kanneganti, Narayanam Anantha Sai Kiran, Laxminadh Sivaraju, Vivek Raj, Alangar S Hegde, and . 2021. Surgical management of a large pediatric temporal pial arteriovenous fistula: Case report. Narayana Medical Journal, 10 (2), 47-49. doi:10.5455/nmj/00000213



Chicago Style

Vidyasagar, Kanneganti, Narayanam Anantha Sai Kiran, Laxminadh Sivaraju, Vivek Raj, Alangar S Hegde, and . "Surgical management of a large pediatric temporal pial arteriovenous fistula: Case report." Narayana Medical Journal 10 (2021), 47-49. doi:10.5455/nmj/00000213



MLA (The Modern Language Association) Style

Vidyasagar, Kanneganti, Narayanam Anantha Sai Kiran, Laxminadh Sivaraju, Vivek Raj, Alangar S Hegde, and . "Surgical management of a large pediatric temporal pial arteriovenous fistula: Case report." Narayana Medical Journal 10.2 (2021), 47-49. Print. doi:10.5455/nmj/00000213



APA (American Psychological Association) Style

Vidyasagar, K., , N. A. S. K., Sivaraju, L., Raj, V., Hegde, A. S. & (2021) Surgical management of a large pediatric temporal pial arteriovenous fistula: Case report. Narayana Medical Journal, 10 (2), 47-49. doi:10.5455/nmj/00000213








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