Medical care of brain malformative vascular diseases discovered during the pre- or neonatal period

Three types of brain arteriovenous vascular malformations can be found during the neonatal period, according to their anatomical location. Vein of Galen malformations are the most common. The others are pial arteriovenous malformations or dural arteriovenous malformations, which include dural sinus...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2013-01, Vol.20 (1), p.74-81
Main Authors: Sachet, M, Tardieu, M, Durand, P, Ozanne, A, Soubrier, F, Tissières, P, Chevret, L, Husson, B, Adamsbaum, C, Bellesme, C, Senat, M V, Ducreux, D, Saliou, G
Format: Article
Language:fre
Subjects:
Cerebral Veins - abnormalities
Female
France
Heart Failure - prevention & control
Humans
Infant, Newborn
Intracranial Arteriovenous Malformations - diagnosis
Intracranial Arteriovenous Malformations - therapy
Neonatal Screening
Pregnancy
Prenatal Diagnosis
Prognosis
Societies, Medical
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Summary:Three types of brain arteriovenous vascular malformations can be found during the neonatal period, according to their anatomical location. Vein of Galen malformations are the most common. The others are pial arteriovenous malformations or dural arteriovenous malformations, which include dural sinus malformations. They can be asymptomatic, but most often they are associated with different symptoms, related to their angioarchitecture or their effect on the brain. High-flow arteriovenous malformations can thus be responsible for heart failure. Local or regional venous hyperpressure exposes the patient to subacute or chronic brain lesions, or to hydrovenous disorders such as hydrocephalus. Some types of venous reflux can expose patients to brain hemorrhage. The treatment chosen for these vascular malformations and their consequences is transarterial or transvenous embolization, depending on the angioarchitecture and type of lesion. The schedule for the treatment will be determined according to the malformation type and its local or general effects on the brain. The aim of this article is to present the recommendations of the French National Referral Center for neurovascular malformations in children, in order to help clinicians and radiologists treat these patients during pre- or neonatal period.
ISSN:1769-664X
DOI:10.1016/j.arcped.2012.10.019