The rare case of a large complex intraosseous cranial arteriovenous malformation with successfulmultidisciplinary management

Anas Al-Smadi, Tahaamin Shokuhfar, Andrew Johnston, Tord D. Alden, Robin Bowman, Ali Shaibani*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Intraosseous cranial arteriovenous malformations (AVMs) are very rare, challenging entities. The authors report the case of an extracranial parietooccipital vascular lesion. A 12-year-old boy presented with accelerated growth of a right scalp lesion over a few months. Digital subtraction angiography showed a large, right parietooccipital intraosseous AVM with multiple complex arterial feeders. Treatment of these lesions is difficult and can necessitate a multidisciplinary approach. In the featured case, 6 embolization procedures were performed over 1 year, including both transarterial and transvenous approaches, followed by total resection. The authors describe what is thought to be the second case of an AVM originating in the cranial bones and the first case with successful multidisciplinary management.

Original languageEnglish (US)
Pages (from-to)591-597
Number of pages7
JournalJournal of Neurosurgery: Pediatrics
Volume20
Issue number6
DOIs
StatePublished - Dec 2017

Keywords

  • Angiography
  • Arteriovenous malformation
  • Embolization
  • Intraosseous
  • Neurological surgery
  • Vascular disorders

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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