Document Detail

Francesco Rizzoli (1809-1880) and the elusive case of Giulia: the description of an "arteriovenous aneurysm passing through the wall of the skull".
MedLine Citation:
PMID:  17195047     Owner:  NLM     Status:  MEDLINE    
The improved knowledge of the clinical and haemodynamical aspects of extracranial arteriovenous malformations in the 18th century provided a foundation for the understanding and treatment of cerebrovascular pathology. It was not until the late 19th century that detailed clinicopathological reports of intracranial arteriovenous malformations were published. A seminal report by the Italian surgeon Francesco Rizzoli described Giulia, a 9-year-old girl who presented with seizures and an occipital pulsanting swelling in 1873. Rizzoli used Giulia's signs and symptoms to predict the complex angioarchitecture of her "arteriovenous aneurysm passing through the wall of skull". Postmortem examination confirmed the supposed diagnosis, and showed a direct communication between the hypertrophic branches of the ocipital artery and the transverse sinus. The clinical course of that case is briefly reviewed in this article and the diagnosis of this unusual arteriovenous shunt is discussed in light of current neurosurgical knowledge.
P Perrini; T Nannini; N Di Lorenzo
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Publication Detail:
Type:  Biography; Historical Article; Journal Article; Portraits     Date:  2007-01-03
Journal Detail:
Title:  Acta neurochirurgica     Volume:  149     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-05     Completed Date:  2007-07-17     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  191-6; discussion 196     Citation Subset:  IM    
Neurosurgical Department, University of Florence, Italy.
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MeSH Terms
Arteriovenous Fistula / history*,  pathology,  surgery
History, 19th Century
Intracranial Aneurysm / history*,  pathology,  surgery
Neurosurgery / history*
Personal Name Subject
Personal Name Subject:
Francesco Rizzoli

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