Affiliation:
1. Departments of Cardiology and Neurosurgery, Children's Hospital Medical Center, and the Departments of Pediatrics and Surgery, Harvard Medical School, Boston
Abstract
The clinical recognition of an intracranial arteriovenous fistula in a newborn infant depends on finding good peripheral pulses, a hyperdynamic cardiac impulse, cardiomegaly, and a cranial bruit. Dilated scalp veins and visible vascular malformations over the head will point toward the diagnosis.
Cardiac catheterization can be diagnostic through recognition of a wide pulse pressure in combination with high oxygen saturations in the jugular veins and the right heart chambers.
Cerebral angiography provides required anatomic detail. Surgical clipping of the feeding arteries may be helpful and even curative.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology, and Child Health
Cited by
7 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献