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Vascular Brain Lesions (Congenital), Pediatric

Sabrina E. Smith, MD, PhD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Developmental venous anomalies (DVAs) are the most common vascular malformation of the brain, representing 60% of all central nervous system (CNS) vascular malformations. Also known ...

DIAGNOSIS

HISTORY

  • DVAs are usually benign and asymptomatic, coming to clinical attention as an incidental finding on a neuroimaging study.

  • Headache, seizure, and intracerebral hemorrhage are common in p...

TREATMENT

GENERAL MEASURES

  • DVAs do not typically require treatment.

  • Anticonvulsants should be used to treat seizures.

  • Surgical resection is the only treatment option for CMs, although conservative manage...

ONGOING CARE

  • Generally, no specific follow-up is required for patients with DVAs.

  • Follow-up with a neurologist is indicated for patients with CMs, AVMs, VOGMs, and SWS.

  • Neurosurgical consultation is ind...

ADDITIONAL READING

  • Comi A. Current therapeutic options in Sturge-Weber syndrome. Semin Pediatr Neurol.  2015;22(4):295–301. [View Abstract on OvidInsights]

  • Niazi TN, Klimo P Jr, Anderson RC, et al...

CODES

ICD9

  • 747.81 Anomalies of cerebrovascular system

  • 759.6 Other hamartoses, not elsewhere classified

  • 228.02 Hemangioma of intracranial structures

ICD10

  • Q28.3 Other malformations of cerebral vessels

  • Q85.8 ...

FAQ

  • Q: Can the AVM recur after treatment?

  • A: AVMs have a propensity to recur. Imaging studies give a good indication of the likelihood of recurrence.

  • Q: How does a vascular malformation cause seizures?

  • A...

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