Case Report - Endovascular management of intracranial pial arterio-venous fistulas

From 1996-2002 we treated 5 consecutive cases of pial fistula. There were 3 patients with a single hole-single channel pial fistula and two patients had a complex pial fistula. Three patients presented with intracerebral hematoma and had a focal neurological deficit. One patient presented with histo...

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Published in:Neurology India 2004-04, Vol.52 (1)
Main Author: Limaye US, Siddhartha W, Shrivastav M, Anand S, Ghatge S
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Language:English
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Pial arteriovenous fistulas, Arteriovenous fistulas, Embolisation
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description From 1996-2002 we treated 5 consecutive cases of pial fistula. There were 3 patients with a single hole-single channel pial fistula and two patients had a complex pial fistula. Three patients presented with intracerebral hematoma and had a focal neurological deficit. One patient presented with history of seizures and 1 patient had headache. The results of the treatment were analyzed both clinically and angiographically. The follow-up period ranged from 6 months to 6 years. All fistulas were treated with concentrated glue. The glue cast included the distal part of the feeding artery, A-V connection and the proximal part of the vein. Post-embolisation angiography showed complete occlusion of two single-hole fistulas and one complex pial A-V fistula and near total occlusion of one single-hole and one complex pial A-V fistula. Four patients had excellent clinical outcome. One patient with single-hole fistula had a hemorrhagic venous infarct resulting in transient hemiparesis.
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subjects Pial arteriovenous fistulas, Arteriovenous fistulas, Embolisation
title Case Report - Endovascular management of intracranial pial arterio-venous fistulas
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