Severe symptomatic vasospasm following intraventricular hemorrhage from arteriovenous fistula

Beom Seok Park, Yu Sam Won, Shun Sik Choi, Byung Moom Kim

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6 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)300-302
Number of pages3
JournalJournal of Korean Neurosurgical Society
Volume45
Issue number5
DOIs
Publication statusPublished - 2009 Oct 12

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Neuroscience(all)
  • Clinical Neurology

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