நரம்பியல் கோளாறுகள்

Management and Treatment of Paediatric Neurovascular Diseases in an Interdisciplinary Setting

Abstract

Homajoun Maslehaty, Athanasios K Petridis, Lutz Schreiber, Friedhelm Brassel, Thorsten Rosenbaum and Martin Scholz

Introduction: Paediatric neurovascular diseases include different patterns, such as cerebral aneurysms, arteriovenous or vein of Galen and cerebral cavernous malformations, as well as ischemic stroke and other infrequent clinical entities like Moyamoya disease. Management and treatment of this topic requires well-coordinated multidisciplinary care of pediatric neurosurgeons, interventional neuro-radiologists and paediatricians.

Materials and methods: We present six cases of neurovascular pathologies in paediatric patients and highlight the multimodal treatment and management strategy. This case-series included patients with Vein of Galen malformation, Arteriovenous-malformation-bleeding, cerebellar ischaemic stroke, dissecting PICA-aneurysm and one patient with a vascular compression of the vestibular nerve inside the internal auditory meatus.

Results: All patients show a good outcome because of a fast and interdisciplinary work and a close collaboration of the neurosurgeon, the neuroradiologist and the neuropadiatrician.

Discussion: A multimodal therapy-management with an effective interdisciplinary setting including the pediatric neurosurgeon, the interventional neuroradiologist and the neuropaediatricians is necessary to reach the best outcome of the patient. Paediatric neurovascular diseases should be treated in an experienced centre with good infrastructure and good interdisciplinary work.