Management and Treatment of Paediatric Neurovascular Diseases in an Interdisciplinary Setting
|Homajoun Maslehaty1*, Athanasios K Petridis2, Lutz Schreiber2, Friedhelm Brassel3, Thorsten Rosenbaum4 and Martin Scholz2|
|1Department of Neurosurgery, University Hospital Essen, University Duisburg-Essen, Germany|
|2Department of Neurosurgery, Klinikum Duisburg, Sana Kliniken, Academic Teaching Hospital of University Essen-Duisburg, Germany|
|3Department of Radiology and Neuroradiology, Klinikum Duisburg, Sana Kliniken, Academic Teaching Hospital of University Essen-Duisburg, Germany|
|4Department of Pediatrics, Klinikum Duisburg, Sana Kliniken, Academic Teaching Hospital of University Essen-Duisburg, Germany|
|Corresponding Author :||Homajoun Maslehaty
Department of Neurosurgery,University Hospital Essen
University Duisburg-Essen, Germany
Tel: +49 2017230
E-mail: [email protected]
|Received July 01, 2014; Accepted September 22, 2014; Published September 24, 2014|
|Citation: Maslehaty H, Petridis AK, Schreiber L, Brassel F, Rosenbaum T, et al. (2014) Management and Treatment of Paediatric Neurovascular Diseases in an Interdisciplinary Setting. J Neurol Disord 2:181. doi: 10.4172/2329-6895.1000181|
|Copyright: © 2014 Maslehaty H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
|Related article at
Pubmed Scholar Google
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.