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Peer-reviewedCC BY 4.0Cureus

Craniofacial Arteriovenous Malformation Diagnosed in the Neonatal Period: A Case Report

  • Mohammed A Obeid1
  • Omran A Saeed1
  • Naeem Alkheamy2,3
  • Abedalkhalk A Khedr4
  • Osama A Ali Yousif5
5 affiliations
  1. 1Education Center, Hamad Medical Corporation, Doha, QAT
  2. 2Medicine and Health Sciences, UCSI University, Kuala Lumpur, MYS
  3. 3Medical Education, Hamad Medical Corporation, Doha, QAT
  4. 4NICU, Hamad Medical Corporation, Doha, QAT
  5. 5Education, Hamad Medical Corporation, Doha, QAT
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Abstract

Congenital arteriovenous malformations (AVMs) in neonates present a significant diagnostic challenge due to their clinical overlap with benign vascular lesions such as infantile hemangiomas, requiring detailed clinical and radiological evaluation to exclude high-flow dynamics, muscular invasion, or intracranial extension.

A term male neonate presented with a localized right temporo-facial hemangioma-like lesion. Bedside cranial and abdominal ultrasonography excluded visceral anomalies and intracranial pathology. Contrast-enhanced Head MRI confirmed a high-flow right temporal AVM involving the temporalis muscle and extending to the zygomatic/orbital region, predominantly supplied by external carotid artery branches without major middle cerebral artery involvement.

The patient was evaluated by an interdisciplinary team comprising neonatology, pediatric neurosurgery, and plastic surgery. After neurosurgical clearance, the infant was discharged home in stable condition on full feeds. At the post-discharge NICU follow-up clinic, the infant demonstrated excellent clinical progress, normal neurodevelopment, and appropriate physical growth with active feeding and stable vital signs. Referrals were established for subspecialized follow-up in Dermatology.

Neonatal vascular markers necessitate systematic multi-modal imaging to define anatomical extent and vascular dynamics. Early multidisciplinary collaboration enables safe conservative management, neurosurgical clearance, and structured outpatient surveillance across pediatric surgical and dermatological specialties.

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Cite

BibTeXRIS
BibTeX
@article{obeid2026craniofacial,
  title = {{Craniofacial Arteriovenous Malformation Diagnosed in the Neonatal Period: A Case Report}},
  author = {Mohammed A Obeid and Omran A Saeed and Naeem Alkheamy and Abedalkhalk A Khedr and Osama A Ali Yousif},
  journal = {Cureus},
  year = {2026},
  month = oct,
  doi = {10.7759/cureus.117486},
  url = {https://doi.org/10.7759/cureus.117486},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Craniofacial Arteriovenous Malformation Diagnosed in the Neonatal Period: A Case Report
AU  - Mohammed A Obeid
AU  - Omran A Saeed
AU  - Naeem Alkheamy
AU  - Abedalkhalk A Khedr
AU  - Osama A Ali Yousif
PY  - 2026
DA  - 2026/10/05
JO  - Cureus
DO  - 10.7759/cureus.117486
UR  - https://doi.org/10.7759/cureus.117486
AB  - Congenital arteriovenous malformations (AVMs) in neonates present a significant diagnostic challenge due to their clinical overlap with benign vascular lesions such as infantile hemangiomas, requiring detailed clinical and radiological evaluation to exclude high-flow dynamics, muscular invasion, or intracranial extension.  A term male neonate presented with a localized right temporo-facial hemangioma-like lesion. Bedside cranial and abdominal ultrasonography excluded visceral anomalies and intracranial pathology. Contrast-enhanced Head MRI confirmed a high-flow right temporal AVM involving the temporalis muscle and extending to the zygomatic/orbital region, predominantly supplied by external carotid artery branches without major middle cerebral artery involvement.  The patient was evaluated by an interdisciplinary team comprising neonatology, pediatric neurosurgery, and plastic surgery. After neurosurgical clearance, the infant was discharged home in stable condition on full feeds. At the post-discharge NICU follow-up clinic, the infant demonstrated excellent clinical progress, normal neurodevelopment, and appropriate physical growth with active feeding and stable vital signs. Referrals were established for subspecialized follow-up in Dermatology.  Neonatal vascular markers necessitate systematic multi-modal imaging to define anatomical extent and vascular dynamics. Early multidisciplinary collaboration enables safe conservative management, neurosurgical clearance, and structured outpatient surveillance across pediatric surgical and dermatological specialties.
SN  - 2168-8184
ER  -