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Neuroradiol J. 2013 Feb;26(1):47-51. Epub 2013 Mar 8.

Neonatal dural arteriovenous fistula at the confluence presenting with paralysis of the orbicularis oris muscle.

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1
Department of Radiology, Toho University Ohashi Medical Center; Tokyo, Japan. yuoii@med.toho-u.ac.jp

Abstract

A male neonate presented a dural arteriovenous fistula (DAVF) at the confluence with paralysis of the orbicularis oris muscle. The interesting features in our case were the clinical symptoms (orbicularis oris muscle paralysis at birth), angioarchitecture (high-flow arteriovenous shunts at the confluence) and the size and hemodynamic flow (mid-sized venous pouch) of the fistula. Additionally, the embolization technique (i.e., occipital artery approach, closing shunts with pure glue) automatically resulted in the immediate and complete closure of accessory feeders without any additional treatment, and the midterm clinical outcome was good. We succeeded improving the symptoms of a neonate with a congenital high-flow DAVF by closing a fistula using a small amount of glue.

PMID:
23859167
PMCID:
PMC5278863
[Indexed for MEDLINE]
Free PMC Article
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