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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 digital subtraction angiography confirmed the results of the computed tomography scan and magnetic resonance imaging. (A) Venous phase, a large AVM and aneurysm are present, and the thin red arrow points to the aneurysm; (B) arterial phase, the blue arrow points to the draining vein, the thick red arrow points to the feeding artery and the thin red arrow points to the aneurysm.
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f3-etm-0-0-3505: Preoperative digital subtraction angiography confirmed the results of the computed tomography scan and magnetic resonance imaging. (A) Venous phase, a large AVM and aneurysm are present, and the thin red arrow points to the aneurysm; (B) arterial phase, the blue arrow points to the draining vein, the thick red arrow points to the feeding artery and the thin red arrow points to the aneurysm.

Mentions: Digital subtraction angiography (DSA) confirmed the existence of a large AVM located in the right corpus callosum with multiple feeders from all branches of the ACA and MCA, and with drainage into the cavernous sinus and transverse sinus via deep temporal cortical veins. Furthermore, DSA clearly demonstrated an ACA aneurysm with a diameter of 3.0 mm adjoining the AVM (Fig. 3). Since the aneurysm was adjoining the AVM, it was difficult to evaluate the reason for the hemorrhage using CT scans. Therefore, the AVM and aneurysm were treated simultaneously to avoid re-bleeding. The hospital determined that the operation was too risky and the patient was admitted to the 101st Hospital of Chinese People's Liberation Army on day 15 following initial admission. A neurological examination involving use of the Glasgow Coma Scale (GCS) (10) detected no abnormalities (GCS score =15), and a CT reexamination showed that the SAH and intracranial hemorrhage blood had been absorbed.


Treatment of a giant arteriovenous malformation associated with intracranial aneurysm rupture during pregnancy: A case report
Preoperative digital subtraction angiography confirmed the results of the computed tomography scan and magnetic resonance imaging. (A) Venous phase, a large AVM and aneurysm are present, and the thin red arrow points to the aneurysm; (B) arterial phase, the blue arrow points to the draining vein, the thick red arrow points to the feeding artery and the thin red arrow points to the aneurysm.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f3-etm-0-0-3505: Preoperative digital subtraction angiography confirmed the results of the computed tomography scan and magnetic resonance imaging. (A) Venous phase, a large AVM and aneurysm are present, and the thin red arrow points to the aneurysm; (B) arterial phase, the blue arrow points to the draining vein, the thick red arrow points to the feeding artery and the thin red arrow points to the aneurysm.
Mentions: Digital subtraction angiography (DSA) confirmed the existence of a large AVM located in the right corpus callosum with multiple feeders from all branches of the ACA and MCA, and with drainage into the cavernous sinus and transverse sinus via deep temporal cortical veins. Furthermore, DSA clearly demonstrated an ACA aneurysm with a diameter of 3.0 mm adjoining the AVM (Fig. 3). Since the aneurysm was adjoining the AVM, it was difficult to evaluate the reason for the hemorrhage using CT scans. Therefore, the AVM and aneurysm were treated simultaneously to avoid re-bleeding. The hospital determined that the operation was too risky and the patient was admitted to the 101st Hospital of Chinese People's Liberation Army on day 15 following initial admission. A neurological examination involving use of the Glasgow Coma Scale (GCS) (10) detected no abnormalities (GCS score =15), and a CT reexamination showed that the SAH and intracranial hemorrhage blood had been absorbed.

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