Abstract
Intracranial pial arteriovenous fistulas (AVFs) are rare vascular malformation in children. Children usually present with macrocrania and localized neurological impairments, whereas infants typically present with congestive heart failure. Congenital pial AVF may have syndromic association with Rendu-Osler-Weber disease and Klippel-Trenaunay-Weber syndrome. Here, we are reporting the case of a 5-month-old child who presented with multiple episodes of seizures and magnetic resonance imaging brain revealed pial AVF from the left middle cerebral artery. Following digital subtraction angiogram, glue embolization was done and achieved complete obliteration of venous sac and flow across fistula. Child had an uneventful postoperative period and developed no complications.
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