Dural arteriovenous fistula in a neonate presenting with respiratory distress.
10.7499/j.issn.1008-8830.2411146
- Author:
Yue DU
1
;
Jing-Hua ZHANG
1
;
Jun-Liang LI
;
Zhou-Ping WANG
;
Mei-Gui WU
1
Author Information
1. Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou 510623, China.
- Publication Type:English Abstract
- Keywords:
Dural arteriovenous fistula;
Heart failure;
Neonate;
Pulmonary hypertension;
Respiratory distress
- MeSH:
Humans;
Male;
Infant, Newborn;
Central Nervous System Vascular Malformations/diagnosis*;
Respiratory Distress Syndrome, Newborn/etiology*;
Embolization, Therapeutic
- From:
Chinese Journal of Contemporary Pediatrics
2025;27(4):500-504
- CountryChina
- Language:Chinese
-
Abstract:
The patient, a 20-day-old male, was admitted due to respiratory distress that had persisted for 20 days after birth. The main clinical manifestations included gradually worsening respiratory distress and edema. The patient received treatment including mechanical ventilation and diuretics. Echocardiography indicated cardiomegaly, pulmonary hypertension, and heart failure. A comprehensive systemic examination revealed a significant blowing vascular murmur upon auscultation over the anterior fontanelle and bilateral temporal regions. Further imaging studies including cranial magnetic resonance imaging, magnetic resonance angiography, and magnetic resonance venography showed marked dilation of the superior sagittal sinus, transverse sinus, and sigmoid sinus, leading to a definitive diagnosis of dural arteriovenous fistula. After a multidisciplinary consultation, the patient underwent cerebral angiography and partial embolization of the left parietal arteriovenous fistula. Postoperatively, the patient was treated with positive inotropes, diuretics, and fluid restriction. Ultimately, the patient was weaned off the ventilator and discharged in improved condition. This article reports a case of neonatal dural arteriovenous fistula presenting with respiratory distress and discusses the multidisciplinary approach to managing this condition, which aids in early disease recognition and guides clinical decision-making.
