Vascular malformations of the central nervous system in children

被引:3
作者
López-Laso, E
Mateos, ME
Pérez-Martínez, DA
Gutiérrez-Martín, F
Bueno, JH
Simón, R
Mateos, F
Muñoz, MJ
Muñoz, A
机构
[1] Univ Madrid, Hosp 12 Octubre, Unidad Neurol Pediat, Ctra Andalucia, E-28041 Madrid, Spain
[2] Univ Madrid, Hosp 12 Octubre, Serv Neurocirugia Pediat, E-28041 Madrid, Spain
[3] Univ Madrid, Hosp 12 Octubre, Serv Radiol, E-28041 Madrid, Spain
关键词
arteriovenous malformations; cavernous malformation; cerebrovascular disorders; cerebrovascular malformation; children; congenital aneurysm;
D O I
10.33588/rn.2808.99006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective. represent the experience of vascular malformations (VM) of the central nervous system (CNS) in children obtained in our centre. Since these lesions do not often present clinically in childhood, there are few series described in the literature. Patients and methods. We made a retrospective review of the clinical histories of patients with VM of the CNS shown on MR, angiography and/or morbid anatomy, who were aged 15 years or under. Patients with Sturge-Weber or Von Hippel-Lindau syndromes were excluded. Results. We describe 32 patients with VM of the CNS. Twenty four had arteriovenous malformations (A VM), 5 had cavernous malformations (CM), 2 had malformations of Galeno's vein (MGV) and one patient had a congenital fusiform arterial aneurysm. Twenty two children (68%) presented clinically with hemorrhages. This was the form of presentation in 20 patients with A VM. In 4 of the 5 patients with CM the first sign was epileptic crisis. The two patients with MGV presented with macrocephaly, in one neonate if was associated with heart failure and in on older baby with hydrocephaly. The patient with a congenital arterial aneurysm presented with paroxystic episodes of facial pain. Conclusions. The A VM are the VM which most frequently cause symptoms in childhood.
引用
收藏
页码:751 / 756
页数:6
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