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Published on: September 25, 2009
Rare clinical presentation of a ruptured spinal bulbomedullary arteriovenous malformation: a case report
Daniel A Vega-Moreno1, Rodolfo P Molina-Martínez1, Yolanda Aburto-Murrieta2
1Department of Neurosurgery, Hospital Central Sur de Alta Especialidad, PEMEX.
Introduction And Importance:
Spinal arteriovenous malformations (AVMs) are a rare condition that has a high risk of bleeding and complications. The authors present the case of a spinal arteriovenous malformation in an unusual location and presentation.
Case Presentation:
A 67-year-old man with subarachnoid hemorrhage due to a ruptured spinal arteriovenous malformation type IVa, with associated bulbomedullary aneurysm, which was managed conservatively due to the high risk of complications and mortality.
Clinical Discussion:
Spinal AVMs have had different management and treatments over the years, so conservative management remains an option when arterial cannulation is complex and surgery carries a high risk of complications.
Conclusion:
Due to the high risk of complications of surgery in this location, conservative treatment is an option for the management of such cases with good outcomes.
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