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

Daniel Encarnacion-Santos (1. 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)
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)

Asian Australasian Neuro and Health Science Journal (AANHS-J)
Vol. 8 No. 01 (2026): AANHS Journal

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.