Embolization of a Giant Torcular Dural Arteriovenous Fistula in a Neonate

We treated a neonatal infant who presented with heart failure and a giant torcular dural arteriovenous fisytula by staged transtorcular embolization with two guides, 95 platinum microcoils, and tissue glues through a needle-size craniotomyu. Blood loss was minimal. The patient was stable without heart failure after a three-staged embolization. The lesion disappeared on the follow-up angiography done at age of 3 years. This is the first documented case of neonatal giant torcular dural arteriovenous malformation cured by interventional neuroradiology. The dilemma and strategy in managiong this patient will be presented and discussed.