Document Detail

Multiple arteriovenous malformations with hemorrhage.
MedLine Citation:
PMID:  11807652     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: A rare case of a left temporal arteriovenous malformation (AVM) with bleeding 10 days after removal of another hemorrhagic AVM in the frontal lobe is reported. METHOD: A 47-year-old man had an attack of headache and vomiting and was admitted to our hospital. On admission, a CT scan showed subcortical hemorrhage in the left frontal lobe. Left carotid angiography revealed four AVMs and a vertebro-basilar angiogram demonstrated a vascular malformation. FINDINGS: First, a hemorrhagic AVM was removed with a hematoma. Following the operation, left carotid angiograms continued to show, AVMs, particularly a temporal AVM with increased blood flow, and after 10 days this hemorrhaged. This was surgically resected and the remaining small AVMs were treated by stereotactic radiosurgery. INTERPRETATION: The patient had a high risk of hemorrhage. Adding hemodynamic stress to this situation, hemorrhage would have been expected to occur at an early time after the initial intervention for hemorrhagic AVM. Considering the risk of hemorrhage, other AVMs should undergo surgery as soon as possible after resection of hemorrhagic AVM.
S Utsuki; A Kurata; Y Miyasaka; M Takano; H Ootaka; K Fujii
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta neurochirurgica     Volume:  144     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-01-24     Completed Date:  2002-03-12     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  97-101     Citation Subset:  IM    
Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara City, Kanagawa, Japan.
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MeSH Terms
Cerebral Angiography
Cerebral Hemorrhage / etiology*,  pathology
Frontal Lobe / pathology*
Intracranial Arteriovenous Malformations / complications,  pathology*,  surgery
Middle Aged
Risk Factors
Temporal Lobe / pathology

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