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Journal of Pediatric Neuroradiology 2013; 02(03): 263-268
DOI: 10.3233/PNR-13064
Review Article
Georg Thieme Verlag KG Stuttgart – New York

Dural arteriovenous shunts in children

Bradley A. Gross
a   Neurointerventional Radiology Section, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA
b   Department of Neurosurgery, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA
,
Ayca Akgoz
b   Department of Neurosurgery, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA
,
Darren B. Orbach
c   Neurointerventional Radiology Division, Boston Children’s Hospital and Harvard Medical School, Boston, MA, USA
› Author Affiliations
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Publication History

06 November 2012

10 April 2013

Publication Date:
29 July 2015 (online)

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Abstract

Dural arteriovenous shunts (dAVF) in children can be classified as dural sinus malformations, infantile dural arteriovenous shunts, and adult-type dural arteriovenous shunts. All subtypes can result in neurologic morbidity as a result of venous or intracranial hypertension and its sequelae. Prognostication and appropriate management is incumbent depends upon understanding both the subtype of dural arteriovenous shunt and its relevant anatomy. When treatment is indicated, endovascular embolization is the mainstay. Surgical treatment may be used adjunctively, though its primary indication is for adult-type dAVF with direct leptomeningeal venous drainage, which cannot be easily accessed by endovascular means. Although radiosurgery has been used successfully in adults with dAVF, its utility for pediatric patients remains largely unexplored.

Keywords

Dural arteriovenous shunts - pediatric - dural sinus malformation - embolization