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An Pediatr (Barc). 2015 Jan;82(1):e98-e101. doi: 10.1016/j.anpedi.2013.12.011. Epub 2014 Mar 2.

[A vertebral arteriovenous fistula diagnosed by auscultation].

[Article in Spanish]

Author information

1
Servicio de Pediatría, Neurología Infantil, Hospital Severo Ochoa, Leganés, Madrid, España. Electronic address: gemaiglesias@hotmail.com.
2
Servicio de Pediatría, Neurología Infantil, Hospital Severo Ochoa, Leganés, Madrid, España.

Abstract

Cervical artery fistulas are rare arteriovenous malformations. The etiology of the vertebral arteriovenous fistulas (AVF) can be traumatic or spontaneous. They tend to be asymptomatic or palpation or continuous vibration in the cervical region. An arteriography is necessary for a definitive diagnosis. The treatment is complete embolization of the fistula. We present the case of a two year-old male, where the mother described it «like a washing machine in his head». On palpation during the physical examination, there was a continuous vibration, and a continuous murmur in left cervical region. A vascular malformation in vertebral region was clinically suspected, and confirmed with angio-MRI and arteriography. AVF are rare in childhood. They should be suspected in the presence of noises, palpation or continuous vibration in the cervical region. Early diagnosis can prevent severe complications in asymptomatic children.

KEYWORDS:

Arteriovenous fistulas; Cervical bruit; Embolización.; Embolization; Endovascular occlusion; Fístulas arteriovenosas; Oclusión endovascular; Soplo cervical

PMID:
24598790
DOI:
10.1016/j.anpedi.2013.12.011
[Indexed for MEDLINE]
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