Acute Spontaneous Subdural Hematoma due to Rupture of a Tiny Cortical Arteriovenous Malformation
Journal of Korean Neurosurgical Society
; : 547-549, 2015.
Article
in En
| WPRIM
| ID: wpr-204839
Responsible library:
WPRO
ABSTRACT
Acute subdural hematoma (SDH) of arterial origin is rare, especially SDH associated with an arteriovenous malformation (AVM) is extremely rare. The authors report a case of acute spontaneous SDH due to rupture of a tiny cortical AVM. A 51-year-old male presented with sudden onset headache and mentality deterioration without a history of trauma. Brain CT revealed a large volume acute SDH compressing the right cerebral hemisphere with subfalcine and tentorial herniation. Emergency decompressive craniectomy was performed to remove the hematoma and during surgery a small (5 mm sized) conglomerated aciniform mass with two surrounding enlarged vessels was identified on the parietal cortex. After warm saline irrigation of the mass, active bleeding developed from a one of the vessel. The bleeding was stopped by coagulation and the vessels were removed. Histopathological examination confirmed the lesion as an AVM. We concluded that a small cortical AVM existed at this area, and that the cortical AVM had caused the acute SDH. Follow up conventional angiography confirmed the absence of remnant AVM or any other vascular abnormality. This report demonstrates rupture of a cortical AVM is worth considering when a patient presents with non-traumatic SDH without intracerebral hemorrhage or subarachnoid hemorrhage.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Arteriovenous Malformations
/
Rupture
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Subarachnoid Hemorrhage
/
Brain
/
Angiography
/
Cerebral Hemorrhage
/
Follow-Up Studies
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Hematoma, Subdural, Acute
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Emergencies
/
Cerebrum
Type of study:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limits:
Humans
/
Male
Language:
En
Journal:
Journal of Korean Neurosurgical Society
Year:
2015
Type:
Article