A Young Male with Spontaneous Ruptured Cerebral Arteriovenous Malformation (Case Report)

Vitorino Modesto Santos; Leandro Pretto Flores; Isabella Augusta Barros; Priscilla Souza Farias; Carolina Paula Lamounier; Renata Athayde Casasanta

doi:10.15562/bmj.v5i1.139

A Young Male with Spontaneous Ruptured Cerebral Arteriovenous Malformation (Case Report)

Vitorino Modesto Santos ,

Leandro Pretto Flores ,

Isabella Augusta Barros ,

Priscilla Souza Farias ,

Carolina Paula Lamounier ,

Renata Athayde Casasanta ,

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DOI: https://doi.org/10.15562/bmj.v5i1.139 |
Published: 2016-04-30

Abstract

Background: Cerebral arteriovenous malformation (AVM) is considered a congenital condition characterized by arterial-venous connections in the absence of intermediate capillaries with circulatory and functional changes, inclusive on the cerebrospinal fluid (CSF) dynamics. Case: A previously healthy young man with abrupt onset of intense headache followed by incoercible vomiting and generalized tonic-clonic seizures. On admission, he was in Glasgow scale IV with respiratory gasping, signs of decerebration and anisocoric mydriasis, and right paresis. Computed tomography showed left intraparenchymal hematoma and intraventricular blood. The abnormal vessels and blood clots were removed by neurosurgery. In early postoperative phase a large cerebrospinal fluid leak developed, and was aspirated and further controlled. The patient had respiratory complications, including pulmonary infection by Pseudomonas. Conclusions: After longstanding hospitalization, he was referred to other medical institution and home care.Â

References

Fok EWS, Poon WL, Tse KS, Lau HY, Chan CH, Pan NY et al. Angiographic factors associated with haemorrhagic presentation of brain arteriovenous malformation in a Chinese paediatric population. Hong Kong Med J 2015;21:401-6. doi: 10.12809/hkmj144339.
Rossitti S. Pathophysiology of increased cerebrospinal fluid pressure associated to brain arteriovenous malformations: the hydraulic hypothesis. Surg Neurol Int 2013;4:42. doi: 10.4103/2152-7806.109657.
Conger Andrew, Kulwin C, Lawton MT, Cohen-Gadol AA. Diagnosis and evaluation of intracranial arteriovenous malformations. Surg Neurol Int 2015;6:76. doi: 10.4103/2152-7806.156866.
Bir SC, Maiti TK, Konar S, Nanda A. Overall outcomes following early interventions for intracranial arteriovenous malformations with hematomas. J Clin Neurosci 2015;pii:S0967-5868(15)00386-3. doi: 10,1016/j.jocn.2015.05.041
Vilalta J, ArikÃ¡n F, Noguer M, OlivÃ© M, Lastra R, MartÃnez-Ricarte F. Outcomes if surgical treatment in 100 patients with arteriovenous malformation.s of the brain. Rev Neurol 2007; 44(8):449-54. PMID 17455156.

[1] Fok EWS, Poon WL, Tse KS, Lau HY, Chan CH, Pan NY et al. Angiographic factors associated with haemorrhagic presentation of brain arteriovenous malformation in a Chinese paediatric population. Hong Kong Med J 2015;21:401-6. doi: 10.12809/hkmj144339.

[2] Rossitti S. Pathophysiology of increased cerebrospinal fluid pressure associated to brain arteriovenous malformations: the hydraulic hypothesis. Surg Neurol Int 2013;4:42. doi: 10.4103/2152-7806.109657.

[3] Conger Andrew, Kulwin C, Lawton MT, Cohen-Gadol AA. Diagnosis and evaluation of intracranial arteriovenous malformations. Surg Neurol Int 2015;6:76. doi: 10.4103/2152-7806.156866.

[4] Bir SC, Maiti TK, Konar S, Nanda A. Overall outcomes following early interventions for intracranial arteriovenous malformations with hematomas. J Clin Neurosci 2015;pii:S0967-5868(15)00386-3. doi: 10,1016/j.jocn.2015.05.041

[5] Vilalta J, ArikÃ¡n F, Noguer M, OlivÃ© M, Lastra R, MartÃnez-Ricarte F. Outcomes if surgical treatment in 100 patients with arteriovenous malformation.s of the brain. Rev Neurol 2007; 44(8):449-54. PMID 17455156.

A Young Male with Spontaneous Ruptured Cerebral Arteriovenous Malformation (Case Report)

Abstract

References

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