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Abstract

Cerebral arteriovenous malformations (CAVMs) are rarely diagnosed in utero. Most prenatal imaging of intracranial vascular malformations relates to Vein of Galen aneurysmal malformations (VGAMs) or Dural Arteriovenous Malformations (D-AVMs). We report a case of a fetal pial AVF with multiple fistulae and venous pouches, which appeared as an anechoic lesion on the prenatal ultrasound scan. The patient was asymptomatic with normal postnatal growth. No haemodynmaic disturbance was evident. Postnatal Computed tomography (CT), Magnetic Resonance Imaging (MRI) and catheter Digital Subtraction Angiography (DSA) confirmed the presence of a pial AVF. The angiographic findings and family history of nose bleeds suggests the diagnosis of Hereditary Hemorrhagic Telangiectasia. The largest AVF was embolized with tissue adhesive; the residual AVF subsequently removed by surgical excision.

Keywords

fistula pial arteriovenous congenital prenatal ultrasound

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References

Comstock

Kirk

: Arteriovenous Malformations. Locations and evolution in the fetal brain. J Ultrsound Med 10: 361–365, 1991.

Lee

Kirk

Pryde

: Atypical Presentation of Fetal Arteriovenous Malformation. J Ultrasound Med 13: 645–647, 1994.

Fleetwood

Steinberg

: Arteriovenous Malformations. Lancet 359: 863–73, 2002.

Mullen

Mojtahedi

Johnson

: Embryological basis of some aspects of cerebral vascular fistulas and malformations J Neurosurg 85: 1–8, 1996.

Lasjaunias

: A Revised Concept of the Congenital Nature of Cerebral Arteriovenous malformations. Interventional Neuroradiology 3: 275–281, 1997.

Lasjaunias

: Vascular diseases in neonate infants and children. Interventional Neuroradiology Management. Springer Verlag, Heidelberg 1997.

Paladini

Palmieri

S A

: Prenatal ultrasound diagnosis of cerebral arteriovenous fistula. Obstet Gynecol 88: 678–81, 1996.

Hoffman

Chuang

: Aneurysms of the vein of Galen. J Neurosurg 57: 316, 1982.

Matsubara

Manzia

: Angiographic and Clinical Characteristics of Patients with Cerebral Arteriovenous Malformations Associated with Hereditary Hemorrhagic Telangiectasia. Am J Neuroradiol 21: 1016–1020, 2000.

10.

Dan

Shalev

: Prenatal Diagnosis of Fetal Brain Arteriovenous Malformation: The Use of Color Doppler Imaging. J Clin Ultrasound 20: 149–151, 1992.

Prenatal Diagnosis of Unusual Fetal Pial Arteriovenous Malformation

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