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Formation During Lifetime of Arteriovenous Shunt in Developmental Venous Anomaly That Caused Intracerebral Hemorrhage

Pilipenko Y., Konovalov A., Okishev D., Okisheva E. A., Eliava S., Gorozhanin V.
World Neurosurgery
Vol.119, P. 168-171
Опубликовано: 2018
Тип ресурса: Статья

DOI:10.1016/j.wneu.2018.07.226

Аннотация:
Background: Developmental venous anomaly (DVA) or venous angioma is a common anomaly of cerebral veins that is found incidentally in the majority of cases. There are few cases of arteriovenous shunting in DVA associated with a more malignant course of the disease. Whether these DVAs with shunts are of congenital pathology or lifetime formations is unclear. Case Description: We report a case of lifetime arteriovenous shunt formation in DVA that caused intracerebral hemorrhage in a child. The patient underwent 2 sequential direct surgeries: an emergency evacuation of the intracerebral hematoma and a scheduled excision of the DVA with arteriovenous shunting. Conclusions: Arteriovenous shunting in DVA may develop during a lifetime and cause intracerebral hemorrhages. This case showed that localization of DVA with arteriovenous shunting in a noneloquent area enables its complete microsurgical excision with favorable functional outcomes. © 2018
Ключевые слова:
Arterialized developmental venous anomaly; Developmental venous anomaly; DVA with arteriovenous shunting; Vascular anomalies; Venous angioma
valproic acid; arteriovenous shunt; Article; brain angiography; brain hematoma; brain hemorrhage; case report; cerebrovascular malformation; child; clinical article; computed tomographic angiography; convulsion; craniotomy; developmental disorder; developmental venous anomaly; female; frontal lobe; headache; human; microsurgery; nausea; nuclear magnetic resonance imaging; postoperative period; preschool child; seizure; vein malformation; vomiting; arteriovenous fistula; brain hemangioma; brain hemorrhage; complication; diagnostic imaging; disease exacerbation; pathophysiology; Arteriovenous Fistula; Central Nervous System Venous Angioma; Cerebral Hemorrhage; Child; Child, Preschool; Disease Progression; Female; Humans
Язык текста: Английский
ISSN: 1878-8769
Pilipenko Y.
Konovalov A.
Okishev D.
Okisheva E. A. Elena Andreevna 1983-
Eliava S.
Gorozhanin V.
Пилипенко Y.
Коновалов А.
Окишев Д.
Окишева Е. А. Елена Андреевна 1983-
Елиава С.
Горожанин В.
Formation During Lifetime of Arteriovenous Shunt in Developmental Venous Anomaly That Caused Intracerebral Hemorrhage
Текст визуальный непосредственный
World Neurosurgery
Vol.119 P. 168-171
2018
Статья
Arterialized developmental venous anomaly Developmental venous anomaly DVA with arteriovenous shunting Vascular anomalies Venous angioma
valproic acid arteriovenous shunt Article brain angiography brain hematoma brain hemorrhage case report cerebrovascular malformation child clinical article computed tomographic angiography convulsion craniotomy developmental disorder developmental venous anomaly female frontal lobe headache human microsurgery nausea nuclear magnetic resonance imaging postoperative period preschool child seizure vein malformation vomiting arteriovenous fistula brain hemangioma brain hemorrhage complication diagnostic imaging disease exacerbation pathophysiology Arteriovenous Fistula Central Nervous System Venous Angioma Cerebral Hemorrhage Child Child, Preschool Disease Progression Female Humans
Background: Developmental venous anomaly (DVA) or venous angioma is a common anomaly of cerebral veins that is found incidentally in the majority of cases. There are few cases of arteriovenous shunting in DVA associated with a more malignant course of the disease. Whether these DVAs with shunts are of congenital pathology or lifetime formations is unclear. Case Description: We report a case of lifetime arteriovenous shunt formation in DVA that caused intracerebral hemorrhage in a child. The patient underwent 2 sequential direct surgeries: an emergency evacuation of the intracerebral hematoma and a scheduled excision of the DVA with arteriovenous shunting. Conclusions: Arteriovenous shunting in DVA may develop during a lifetime and cause intracerebral hemorrhages. This case showed that localization of DVA with arteriovenous shunting in a noneloquent area enables its complete microsurgical excision with favorable functional outcomes. © 2018