Abstract
Introduction
Evaluation of the congenital vascular lesions of the brain requires multiple conventional intra-arterial digital subtraction angiographic examinations which have many associated risks including exposure to ionizing radiations. Magnetic resonance digital subtraction angiography is a non-invasive procedure with no related risks of radiation exposure. This technique can be of greater clinical significance in diagnosis and treatment planning of neurovascular abnormalities among children who are at far greater risk of invasive procedures like intra-arterial digital subtraction angiography.
Case report
We report a congenital pial arteriovenous fistula in an infant which is a rare vascular lesion and has recently been identified as different from other vascular malformations. Magnetic resonance digital subtraction angiography provided hemodynamic information in absolute agreement with intra-arterial digital subtraction angiography indicating its significance in evaluating vascular lesions.
Discussion
Magnetic resonance digital subtraction angiography can be used in children in conjunction with intra-arterial digital subtraction angiography to minimize the cumulative radiation dose and multiple anesthesias.
References
Masuoka J, Sakota S, Matsushima T (2008) Intracranial pial single-channel arteriovenous fistula presenting with significant brain edema. J Neurosurg 109:497–501
Saito A, Sugawara T, Mikawa S, Akamatsu Y, Saito H, Seki H (2008) A case of multiple arteriovenous fistulas associated with dural arteriovenous fistula. J Neurosurg 109:1103–1107
Horie N, Morikawa M, Kitagawa N, Tsutsumi K, Kaminogo M, Nagata I (2006) 2D thick-section MR digital subtraction angiography for the assessment of dural arteriovenous fistulas. AJNR Am J Neuroradiol 27:264–269
Mori H, Aoki S, Okubo T, Hayashi N, Masumoto T, Yoshikawa T, Tago M, Shin M, Kurita H, Abe O, Ohmoto K (2003) Two-dimensional thick-slice MR digital subtraction angiography in the assessment of small to medium-size intracranial arteriovenous malformations. Neuroradiology 45:27–33
Aoki S, Yoshikawa T, Hori M, Nanbu A, Kumagai H, Nishiyama Y, Nukui H, Araki T (2000) MR digital subtraction angiography for the assessment of cranial arteriovenous malformations and fistulas. AJR Am J Roentgenol 175:451–453
Coley SC, Romanowski CA, HodgsonTJ GPD (2002) Dural arteriovenous fistulae: noninvasive diagnosis with dynamic MR digital subtraction angiography. AJNR Am J Neuroradiol 23:404–407
Mukundan S, Fuchs H, Alexander MJ, Grant GA (2007) Dynamic contrast-enhanced magnetic resonance angiography of vascular malformations in pediatric patients. J Neurosurg 107:228–231
Summers PE, Kollias SS, Valavanis A (2004) Resolution improvement in thick-slab magnetic resonance digital subtraction angiography using SENSE at 3T. J Magn Reson Imaging 20:662–673
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Fatima, Z., Ishigame, K., Hori, M. et al. Time-resolved contrast-enhanced magnetic resonance digital subtraction angiography (MRDSA) in an infant with congenital pial arteriovenous fistula in the brain: a case report. Childs Nerv Syst 26, 1121–1124 (2010). https://doi.org/10.1007/s00381-010-1160-8
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DOI: https://doi.org/10.1007/s00381-010-1160-8