Acute thrombosis of a giant perimedullary arteriovenous fistula in a pediatric HHT patient

Janaki Devara, Vivek N. Iyer, Deepti M. Warad, Waleed Brinjikji, Ahmad Aljobeh, Giuseppe Lanzino, Nadir Demirel

Research output: Contribution to journalArticlepeer-review

Abstract

Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant hereditary disorder that results in arteriovenous malformations (AVMs) in the nose, mucocutaneous surfaces and visceral organs, including lung, brain, liver, bowel and rarely spinal cord. We describe a case of a young child with HHT who presented with acute paraparesis due to acute thrombosis of a spinal perimedullary arteriovenous fistula. Patient underwent coil embolization of spinal arteriovenous shunt with resolution of clinical symptoms. This case highlights the possibility of catastrophic complications in young children with HHT, the potential preventive role of screening for spinal AVMs in HHT and the importance of timely intervention.

Original languageEnglish (US)
JournalInterventional Neuroradiology
DOIs
StateAccepted/In press - 2021

Keywords

  • Hereditary hemorrhagic telangiectasia
  • paresis
  • spinal arteriovenous malformations

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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