Pial arteriovenous fistula with a large intraparenchymal hemorrhage in a 9-year-old child: a case report and case-based mini review.

ABSTRACT:

Background

Pial arteriovenous fistulas are rare cerebrovascular malformations, predominantly occurring in the pediatric population. The spectrum of symptoms is broad, ranging from incidental findings to intracranial hemorrhage. However, accurate diagnosis and optimal treatment require, among other factors, dynamic imaging modalities and interdisciplinary management.

Case presentation

We describe a case of a 9-year-old patient presenting with acute spontaneous headache and apathy. MRI revealed a right temporal intraparenchymal hemorrhage, without signs of an underlying vascular pathology. Cerebral angiography was performed, revealing a suspected pial arteriovenous fistula. The patient was scheduled for surgical hematoma removal and resection of the pial fistula, with intraope

SUBMITTER: Etter MM 

PROVIDER: S-EPMC11913974 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature