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Treatment of a giant arteriovenous malformation associated with intracranial aneurysm rupture during pregnancy: A case report

View Article: PubMed Central - PubMed

ABSTRACT

Arteriovenous malformations (AVMs) associated with aneurysm have rarely been reported in the literature. The present study reports the case of a 21-year-old pregnant female patient who presented with a subarachnoid hemorrhage and an intracranial hematoma located in the anterior end of the corpus callosum. Furthermore, an anterior cerebral aneurysm and an AVM were identified by digital subtraction angiography and magnetic resonance angiography. The aneurysm was clipped and the AVM was successfully removed by microsurgery. The diagnosis of AVM associated with an aneurysm was confirmed via intraoperative and postoperative pathological examinations. By performing a review of the current literature, issues and surgical considerations associated with AVM associated with aneurysm were analyzed.

No MeSH data available.


Related in: MedlinePlus

Preoperative computed tomography scan showed an intracranial hematoma in the right frontal lobe (red arrow) and a subarachnoid hemorrhage.
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f1-etm-0-0-3505: Preoperative computed tomography scan showed an intracranial hematoma in the right frontal lobe (red arrow) and a subarachnoid hemorrhage.

Mentions: A 21-year-old female was admitted to Lujiang People's Hospital (Lujiang, China) on 6th June 2014 due to a short-term history of a severe headache, nausea and vomiting, in the absence of an obvious cause. The patient had no previous history of trauma. A computed tomography (CT) head scan revealed an intracranial hematoma in the right frontal lobe, and a SAH (Fig. 1). The patient was transferred to the regional center hospital where a magnetic resonance angiography (MRA) detected an AVM with a diameter of 5 cm in the right corpus callosum. The nidus was fed by the branches of the right anterior cerebral artery (ACA) and the right middle cerebral artery (MCA). In addition, there were multiple large cortical venous drains, one of which drained blood to the superior sagittal sinus, and one which drained blood to the sagittal sinus. Furthermore, a 3.0-mm enlarged blood vessel corresponding to an aneurysm was observed, although its existence could not be confirmed by an MRA (Fig. 2).


Treatment of a giant arteriovenous malformation associated with intracranial aneurysm rupture during pregnancy: A case report
Preoperative computed tomography scan showed an intracranial hematoma in the right frontal lobe (red arrow) and a subarachnoid hemorrhage.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4997910&req=5

f1-etm-0-0-3505: Preoperative computed tomography scan showed an intracranial hematoma in the right frontal lobe (red arrow) and a subarachnoid hemorrhage.
Mentions: A 21-year-old female was admitted to Lujiang People's Hospital (Lujiang, China) on 6th June 2014 due to a short-term history of a severe headache, nausea and vomiting, in the absence of an obvious cause. The patient had no previous history of trauma. A computed tomography (CT) head scan revealed an intracranial hematoma in the right frontal lobe, and a SAH (Fig. 1). The patient was transferred to the regional center hospital where a magnetic resonance angiography (MRA) detected an AVM with a diameter of 5 cm in the right corpus callosum. The nidus was fed by the branches of the right anterior cerebral artery (ACA) and the right middle cerebral artery (MCA). In addition, there were multiple large cortical venous drains, one of which drained blood to the superior sagittal sinus, and one which drained blood to the sagittal sinus. Furthermore, a 3.0-mm enlarged blood vessel corresponding to an aneurysm was observed, although its existence could not be confirmed by an MRA (Fig. 2).

View Article: PubMed Central - PubMed

ABSTRACT

Arteriovenous malformations (AVMs) associated with aneurysm have rarely been reported in the literature. The present study reports the case of a 21-year-old pregnant female patient who presented with a subarachnoid hemorrhage and an intracranial hematoma located in the anterior end of the corpus callosum. Furthermore, an anterior cerebral aneurysm and an AVM were identified by digital subtraction angiography and magnetic resonance angiography. The aneurysm was clipped and the AVM was successfully removed by microsurgery. The diagnosis of AVM associated with an aneurysm was confirmed via intraoperative and postoperative pathological examinations. By performing a review of the current literature, issues and surgical considerations associated with AVM associated with aneurysm were analyzed.

No MeSH data available.


Related in: MedlinePlus