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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886 EISSN: 0028-3886
Vol. 52, No. 1, 2004, pp. 87-90
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Bioline Code: ni04021
Full paper language: English
Document type: Research Article
Document available free of charge
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Neurology India, Vol. 52, No. 1, 2004, pp. 87-90
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Case Report - Endovascular management of intracranial pial arterio-venous fistulas
Limaye US, Siddhartha W, Shrivastav M, Anand S, Ghatge S
Abstract
From 1996-2002 we treated 5 consecutive cases of pial fistula. There were 3 patients with a single hole-single channel pial fistula and two patients had a complex pial fistula. Three patients presented with intracerebral hematoma and had a focal neurological deficit. One patient presented with history of seizures and 1 patient had headache. The results of the treatment were analyzed both clinically and angiographically. The follow-up period ranged from 6 months to 6 years. All fistulas were treated with concentrated glue. The glue cast included the distal part of the feeding artery, A-V connection and the proximal part of the vein. Post-embolisation angiography showed complete occlusion of two single-hole fistulas and one complex pial A-V fistula and near total occlusion of one single-hole and one complex pial A-V fistula. Four patients had excellent clinical outcome. One patient with single-hole fistula had a hemorrhagic venous infarct resulting in transient hemiparesis.
Keywords
Pial arteriovenous fistulas, Arteriovenous fistulas, Embolisation.
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