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Multiple arteriovenous malformations of spinal cord and brain in a child
H Tsurushima1, K Meguro, A Matsumura
1Department of Neurosurgery, Tsukuba Medical Center Hospital, Ibaraki, Japan.
Insights
This case study details a rare instance of a young girl with both brain and spinal cord arteriovenous malformations (AVMs). Both AVMs bled, requiring surgical and embolization treatments for the intracranial and spinal lesions.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Arteriovenous malformations (AVMs) are abnormal tangles of blood vessels.
- Concurrent intracranial and spinal AVMs are exceptionally rare, particularly when both present with hemorrhage.
Abstract:
A case of concurrent intracranial and spinal cord arteriovenous malformations (AVMs) is described. A 3-year-old girl presented with paraparesis, bladder-bowel disturbances and bilateral dysesthesia of the lower extremities due to a spinal hematoma, resulting from a spinal AVM. Magnetic resonance imaging revealed a hematoma and abnormal vessels in the spinal cord. The AVM was embolized with polyvinyl alcohol particles and silk sutures and was surgically removed. Later, this girl presented with disturbance of consciousness due to an intraventricular hemorrhage, resulting from a cerebral AVM. The cerebral AVM was surgically resected. The coexistence of bleeding cerebral and spinal AVMs is very rare.