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Malformación arteriovenosa cerebral rota coexistente con síndrome de vasoconstricción cerebral reversible: un reporte

Kessarin Panichpisal¹, Melanie B Fukui², Amin B Kassam³

¹Neurology, Intent Medical Group, Endeavor Health Advanced Neurosciences Institute, Northwest Community Hospital, Arlington Heights, USA.

|February 2, 2026

Resumen

Este reporte de caso detalla un caso raro de malformación arteriovenosa cerebral (MAV) rota coexistente con síndrome de vasoconstricción cerebral reversible (SVCR). Destaca la necesidad de considerar múltiples patologías vasculares en presentaciones neurológicas complejas.

Área de la Ciencia:

Neurología
Neurología Vascular
Neurocirugía

Sus antecedentes:

El síndrome de vasoconstricción cerebral reversible (SVCR) puede coexistir con otras enfermedades cerebrovasculares.
La ocurrencia simultánea de malformación arteriovenosa cerebral (MAV) rota y SVCR no ha sido documentada previamente.

Objetivo del estudio:

Reportar un caso único de MAV cerebral rota coexistente con SVCR.
Enfatizar los desafíos diagnósticos y la importancia de considerar lesiones vasculares concurrentes en presentaciones atípicas de SVCR.

Principales métodos:

Reporte de caso de una paciente de 48 años que presentó cefalea en trueno y déficits neurológicos.
El estudio diagnóstico incluyó TC de cabeza sin contraste y angiografía cerebral.
La intervención quirúrgica implicó evacuación del hematoma y resección de la MAV.

Principales resultados:

Paciente presentó hemorragia intracerebral, hemorragia subaracnoidea y hematoma subdural, con patrón atípico de SVCR.
La angiografía cerebral confirmó vasoconstricción multifocal (SVCR) e identificó una MAV cerebral rota.
Se logró la resección exitosa de la MAV y una recuperación neurológica significativa después de la rehabilitación.

Conclusiones:

Este caso representa la primera instancia reportada de MAV cerebral rota coexistente con SVCR.
Un alto índice de sospecha de lesiones vasculares coexistentes es crucial en pacientes con SVCR con patrones hemorrágicos atípicos.

Palabras clave:

hematoma subdural agudo malformación arteriovenosa cerebral hemorragia subaracnoidea de convexidad hemorragia intracraneal síndrome de vasoconstricción cerebral reversible

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