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

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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.

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Postoperative histopathological examination showed abnormal, tortuously distributed vessels characteristic of an arteriovenous malformation.
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f4-etm-0-0-3505: Postoperative histopathological examination showed abnormal, tortuously distributed vessels characteristic of an arteriovenous malformation.

Mentions: A pathological analysis (Fig. 4), performed as previously described (11), showed that the AVM was 5×4×4 cm (Spetzler-Martin grade 4) (12). Postoperative control of the patient's blood pressure was important and it was maintained below the normal (10–20 mmH2g) (normal systolic pressure, 120–140 mmHg; normal diastolic pressure, 70–90 mmHg). The patient was discharged from the Neonatal Intensive Care Unit on 20th June 2014 after 3 days with a GCS score of 15/15. No nerve dysfunction was observed. A CT and CT angiography (Fig. 5) was performed and demonstrated that the surgery had been successful, that the aneurysm had been clipped completely, that the AVM had been entirely removed and that no venous drain had been injured. At the 6 month follow-up, the Glasgow Outcome Scale (13) score was 5. Informed consent was obtained from the patient.


Treatment of a giant arteriovenous malformation associated with intracranial aneurysm rupture during pregnancy: A case report
Postoperative histopathological examination showed abnormal, tortuously distributed vessels characteristic of an arteriovenous malformation.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f4-etm-0-0-3505: Postoperative histopathological examination showed abnormal, tortuously distributed vessels characteristic of an arteriovenous malformation.
Mentions: A pathological analysis (Fig. 4), performed as previously described (11), showed that the AVM was 5×4×4 cm (Spetzler-Martin grade 4) (12). Postoperative control of the patient's blood pressure was important and it was maintained below the normal (10–20 mmH2g) (normal systolic pressure, 120–140 mmHg; normal diastolic pressure, 70–90 mmHg). The patient was discharged from the Neonatal Intensive Care Unit on 20th June 2014 after 3 days with a GCS score of 15/15. No nerve dysfunction was observed. A CT and CT angiography (Fig. 5) was performed and demonstrated that the surgery had been successful, that the aneurysm had been clipped completely, that the AVM had been entirely removed and that no venous drain had been injured. At the 6 month follow-up, the Glasgow Outcome Scale (13) score was 5. Informed consent was obtained from the patient.

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