RT Journal Article
SR Electronic
T1 Republished: A lumbar arteriovenous fistula presenting with intraventricular hemorrhage and hydrocephalus
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP e5
OP e5
DO 10.1136/neurintsurg-2019-015631.rep
VO 12
IS 5
A1 Brandon A Miller
A1 Robert Christopher Spears
A1 Thomas K Hines
A1 Abdulnasser Alhajeri
A1 Justin F Fraser
YR 2020
UL http://jnis.bmj.com/content/12/5/e5.abstract
AB Pediatric spinal vascular malformations are rare entities that typically present with symptoms from their effect on surrounding structures. Here we report a unique case of lumbar spinal dural/perimedullary arteriovenous fistula (AVF) that presented with intraventricular hemorrhage and hydrocephalus. The previously healthy child presented with lethargy and headache, and initial imaging revealed only ventriculomegaly with trace intraventricular blood. His mental status improved with CSF diversion via an external ventricular drain. Further workup revealed a spinal AVF that was treated via endovascular embolization. His course was complicated by vasospasm requiring endovascular treatment and he eventually required ventriculoperitoneal shunt placement. He made a full recovery and has returned to his normal activities. This is a unique case of spinal AVF presentation and highlights the importance of considering imaging of the entire neuroaxis during workup for hydrocephalus.