Severe Symptomatic Vasospasm following Intraventricular Hemorrhage from Arteriovenous Fistula
Journal of Korean Neurosurgical Society
; : 300-302, 2009.
Article
em En
| WPRIM
| ID: wpr-212256
Biblioteca responsável:
WPRO
ABSTRACT
The authors present a rare case of severe vasospasm following the rupture of arteriovenous fistula. On initial CT scan, hematoma in the corpus callosum and left inferior frontal region with surrounding cerebromalacia and all ventricles without apparent subarachnoid hemorrhage were seen. Angiograms showed arterivenous fistula but did not show cerebral vasospasm. Thirteen days after admission the neurological state of patient suddenly deteriorated and bilateral motor weaknesses developed. Following angiograms revealed severe narrowing on the supraclinoid portion of bilateral internal carotid arteries, bilateral anterior cerebral arteries and bilateral middle cerebral arteries. Transluminal angioplasty and intra-arterial papaverine infusion were performed. The patient remained stable with moderate neurologic deficits.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Papaverina
/
Ruptura
/
Hemorragia Subaracnóidea
/
Artéria Carótida Interna
/
Fístula Arteriovenosa
/
Angioplastia
/
Corpo Caloso
/
Artéria Cerebral Anterior
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Artéria Cerebral Média
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Vasoespasmo Intracraniano
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
En
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2009
Tipo de documento:
Article