The Management of Pediatric Intracranial Arteriovenous Malformations: A Case Report and Literature review.

Management of Pediatric Intracranial Arteriovenous Malformations

Authors

  • Daniel Encarnacion-Santos 1. Department of Neurological disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia https://orcid.org/0000-0001-6484-6775
  • Gennady Chmutin 1. Department of Neurological disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia
  • Egor Chmutin Department of Neurological disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia
  • Arstanbekov Beksultan Department of Neurological disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia
  • Symbattym Bodanova Department of Neurological disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia
  • Nazmin Ahmed Department of Neurosurgery, Ibrahim Cardiac Hospital & Research Institute (A Centre for Cardiovascular, Neuroscience and Organ Transplant Units), Shahbag, Dhaka, Bangladesh-1000
  • Ismail Bozkurt Department of Neurosurgery, Medical Park Ankara Hospital, Ankara, Turke

DOI:

https://doi.org/10.32734/aanhs-j.v8i01.24586

Keywords:

Cerebral Arteriovenous Malformation, Endovascular embolization, Microcatheters, Pediatrics

Abstract

Abstract

Background: Pediatric brain arteriovenous malformations (AVMs) frequently present with hemorrhage and carry a mortality rate of 5%–10%. This report evaluates the management of two pediatric cases involving different therapeutic pathways based on clinical complexity.

Case Presentations: Case 1: An 11-year-old boy presented with isolated headaches, vomiting, lethargy, and slurred speech. Preoperative MRI/CT diagnosed an AVM of the anterior cerebral artery. The patient underwent primary endovascular embolization using SQUID-1 via an Apollo microcatheter. Post-procedural angiography confirmed complete occlusion of the AVM. At discharge, the patient showed improved sensation in the left extremities.

Conclusion: Successful management of pediatric AVMs requires multimodal strategies, including endovascular embolization and microsurgery, tailored to the Spetzler-Martin grade and rupture status. Objective outcomes in these cases demonstrated that combining liquid embolic agents with surgical excision can achieve complete obliteration and stable neurological recovery.

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Author Biographies

Daniel Encarnacion-Santos, 1. Department of Neurological disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia

Department of Neurological disease and Neurosurgery, Peoples of Friendship

University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia

Gennady Chmutin, 1. Department of Neurological disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia

  1. Department of Neurological disease and Neurosurgery, Peoples of Friendship

University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia

Egor Chmutin, Department of Neurological disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia

Department of Neurological disease and Neurosurgery, Peoples of Friendship

University of Russia named after Patrice Lumumba (RUDN) , Moscow, Russia

Arstanbekov Beksultan, Department of Neurological disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia

Department of Neurological disease and Neurosurgery, Peoples of Friendship

University of Russia named after Patrice Lumumba (RUDN) , Moscow, Russia

Symbattym Bodanova, Department of Neurological disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN) , Moscow Russia

Department of Neurological disease and Neurosurgery, Peoples of Friendship

University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia

Nazmin Ahmed, Department of Neurosurgery, Ibrahim Cardiac Hospital & Research Institute (A Centre for Cardiovascular, Neuroscience and Organ Transplant Units), Shahbag, Dhaka, Bangladesh-1000

Department of Neurosurgery, Ibrahim Cardiac Hospital & Research Institute (A Centre for Cardiovascular, Neuroscience and Organ Transplant Units), Shahbag, Dhaka,

Bangladesh

Ismail Bozkurt, Department of Neurosurgery, Medical Park Ankara Hospital, Ankara, Turke

Department of Neurosurgery, Medical Park Ankara Hospital, Ankara, Turke

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Published

2026-05-07

How to Cite

Encarnacion-Santos, D., Chmutin, G., Chmutin, E., Beksultan, A., Bodanova, S., Ahmed, N., & Bozkurt, I. (2026). The Management of Pediatric Intracranial Arteriovenous Malformations: A Case Report and Literature review.: Management of Pediatric Intracranial Arteriovenous Malformations. Asian Australasian Neuro and Health Science Journal (AANHS-J), 8(01), 01–06. https://doi.org/10.32734/aanhs-j.v8i01.24586

Issue

Vol. 8 No. 01 (2026): AANHS Journal

Section

Articles

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