Abstract
Dural arteriovenous shunts (dAVF) in children can be classified as dural sinus malformations,
infantile dural arteriovenous shunts, and adult-type dural arteriovenous shunts. All
subtypes can result in neurologic morbidity as a result of venous or intracranial
hypertension and its sequelae. Prognostication and appropriate management is incumbent
depends upon understanding both the subtype of dural arteriovenous shunt and its relevant
anatomy. When treatment is indicated, endovascular embolization is the mainstay. Surgical
treatment may be used adjunctively, though its primary indication is for adult-type
dAVF with direct leptomeningeal venous drainage, which cannot be easily accessed by
endovascular means. Although radiosurgery has been used successfully in adults with
dAVF, its utility for pediatric patients remains largely unexplored.
Keywords
Dural arteriovenous shunts - pediatric - dural sinus malformation - embolization