Primary intraventricular haemorrhage: a rare presenting feature of arteriovenous malformation in children

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Published on: October 20, 2017

Ramesh C Parmar1, S B Bavdekar, A Goel

  • 1Department of Paediatrics, Seth GS Medical College and KEM Hospital, Mumbai.

Journal of the Indian Medical Association
|October 31, 2002
PubMed

Insights

Brain arteriovenous malformations (AVMs) rarely cause intraventricular hemorrhage in children. This study reports two pediatric cases successfully treated with steroids, anti-epileptic drugs, and embolization.

Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Vascular Malformations

Background:

  • Arteriovenous malformations (AVMs) are complex vascular anomalies.
  • Intracranial hemorrhage is a known complication of AVMs, particularly in adults.
  • Primary intraventricular hemorrhage from pediatric AVMs is exceptionally rare.

Observation:

  • Two children, aged 11 and 13, presented with primary intraventricular hemorrhage.
  • This presentation is rare in pediatric populations.
  • Adult intracranial bleeds secondary to AVM rupture account for 3%.

Findings:

  • Both pediatric cases responded well to a multimodal treatment approach.
  • Therapeutic strategies included steroids, anti-epileptic drugs, and embolization.
  • Successful management of intraventricular hemorrhage in pediatric AVM.

Implications:

  • This study reports a previously undocumented presentation of pediatric brain AVM.
  • Early diagnosis and tailored therapy are crucial for favorable outcomes.
  • Further research is needed to understand pediatric AVM hemorrhage patterns.

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