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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

[Primary intraventricular hemorrhage as a result of a bleeding arteriovenous malformation]

M E Vázquez-López1, R Pego-Reigosa

  • 1Servicio de Pediatría, Complejo Hospitalario Xeral-Calde, 27004 Lugo, España. esther.vazquez.lopez@sergas.es

Anales De Pediatria (Barcelona, Spain : 2003)
|June 2, 2005
PubMed

Insights

Primary intraventricular hemorrhage is rare in children. A 15-year-old girl’s arteriovenous malformation was successfully treated with radiosurgery, highlighting the need to identify underlying causes.

Area of Science:

  • Neurology
  • Neurosurgery
  • Radiology

Background:

  • Primary intraventricular hemorrhage (IVH) is exceptionally rare in pediatric patients.
  • Prompt diagnosis and identification of underlying vascular lesions are crucial for effective management.

Observation:

  • A 15-year-old female presented with sudden severe headache, vomiting, and fever, exhibiting only neck stiffness on examination.
  • Brain computed tomography revealed intraventricular hemorrhage.
  • Conventional angiography identified an arteriovenous malformation (AVM) in the right pericallosal artery branches.

Findings:

  • Gamma-knife radiosurgery was performed for the AVM with no immediate complications.
  • Follow-up angiography confirmed the complete disappearance of the arteriovenous malformation.
  • This case underscores the importance of investigating potential underlying lesions in pediatric IVH.

Implications:

  • Early detection and treatment of AVMs are vital in pediatric intraventricular hemorrhage cases.
  • Treatment modalities for AVMs include surgery, interventional radiology, and radiosurgery, often used in combination.
  • This case highlights radiosurgery as an effective treatment option for pediatric intraventricular AVMs.

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