"Embolization of midbrain arteriovenous malformation fed by the artery of Percheron in a child, the first case report and literature review"

作者全名："Tang, Jun; Li, Lusheng; Zhou, Yudong; Zhai, Xuan; Liang, Ping"

作者地址："[Tang, Jun; Li, Lusheng; Zhou, Yudong; Zhai, Xuan; Liang, Ping] Chongqing Med Univ, Childrens Hosp, Natl Res Ctr Child Hlth & Disorders, Dept Neurosurg, 20 Jing Yu Rd, Chongqing 400015, Peoples R China"

通信作者："Tang, J (通讯作者)，Chongqing Med Univ, Childrens Hosp, Natl Res Ctr Child Hlth & Disorders, Dept Neurosurg, 20 Jing Yu Rd, Chongqing 400015, Peoples R China."

来源：CHILDS NERVOUS SYSTEM

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000988428800002

JCR分区：Q3

影响因子：1.3

年份：2023

卷号：　

期号：　

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结束页：　

文献类型：Article; Early Access

关键词：Artery of Percheron; Arteriovenous malformation; Intervention embolization; Midbrain hemorrhage

摘要："Background Artery of Percheron (AOP) as main feeder artery of arteriovenous malformation (AVM) is extremely rare. Two cases of thalamic AVM fed by AOP have been reported to date and only one AVM been removed by microsurgery when attempt of intervention embolization failed. Midbrain AVM fed by AOP has not been reported yet. Case presentation Here, we presented the first successful embolized case of midbrain AVM supplied by the AOP in a 10-year-old boy, who suffered dual oculomotor nerve palsy and secondary hemorrhage before embolization. During endovascular embolization, selective angiography by 1.2 Fr. Magic microcatheter showed an intranidal aneurysm located on the distal AOP. Two injections of a 1:4 ratio mixture of NBCA-MS completely occlude the nidus and intranidal aneurysm with no complications occurred. The child recovered well and the oculomotor deficits improved. Conclusion This case highlighted that AOP is a clinically significant branch associated with AVM in midbrain and thalamus. Moreover, intervention embolization of midbrain AVM fed by AOP is a considerable therapeutic strategy."

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