Dural arteriovenous fistula in a neonate presenting with respiratory distress

DU Yue, ZHANG Jing-Hua, LI Jun-Liang, WANG Zhou-Ping, WU Mei-Gui

Chinese Journal of Contemporary Pediatrics ›› 2025, Vol. 27 ›› Issue (4) : 500-504.

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Chinese Journal of Contemporary Pediatrics ›› 2025, Vol. 27 ›› Issue (4) : 500-504. DOI: 10.7499/j.issn.1008-8830.2411146
COLUMN ON DIAGNOSIS & TREATMENT IN MDT MODE

Dural arteriovenous fistula in a neonate presenting with respiratory distress

  • DU Yue, ZHANG Jing-Hua, LI Jun-Liang, WANG Zhou-Ping, WU Mei-Gui
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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.

Key words

Dural arteriovenous fistula / Respiratory distress / Heart failure / Pulmonary hypertension / Neonate

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DU Yue, ZHANG Jing-Hua, LI Jun-Liang, WANG Zhou-Ping, WU Mei-Gui. Dural arteriovenous fistula in a neonate presenting with respiratory distress[J]. Chinese Journal of Contemporary Pediatrics. 2025, 27(4): 500-504 https://doi.org/10.7499/j.issn.1008-8830.2411146

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