Severe Symptomatic Vasospasm following Intraventricular Hemorrhage from Arteriovenous Fistula.
10.3340/jkns.2009.45.5.300
- Author:
Beom Seok PARK
1
;
Yu Sam WON
;
Chun Sik CHOI
;
Byung Moom KIM
Author Information
1. Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. yusam.won@samsung.com
- Publication Type:Case Report
- Keywords:
Vasospasm;
Intraventricular hemorrhage;
Arteriovenous fistula
- MeSH:
Angioplasty;
Anterior Cerebral Artery;
Arteriovenous Fistula;
Carotid Artery, Internal;
Corpus Callosum;
Encephalomalacia;
Fistula;
Hematoma;
Hemorrhage;
Humans;
Middle Cerebral Artery;
Neurologic Manifestations;
Papaverine;
Rupture;
Subarachnoid Hemorrhage;
Vasospasm, Intracranial
- From:Journal of Korean Neurosurgical Society
2009;45(5):300-302
- CountryRepublic of Korea
- Language:English
-
Abstract:
The authors present a rare case of severe vasospasm following the rupture of arteriovenous fistula. On initial CT scan, hematoma in the corpus callosum and left inferior frontal region with surrounding cerebromalacia and all ventricles without apparent subarachnoid hemorrhage were seen. Angiograms showed arterivenous fistula but did not show cerebral vasospasm. Thirteen days after admission the neurological state of patient suddenly deteriorated and bilateral motor weaknesses developed. Following angiograms revealed severe narrowing on the supraclinoid portion of bilateral internal carotid arteries, bilateral anterior cerebral arteries and bilateral middle cerebral arteries. Transluminal angioplasty and intra-arterial papaverine infusion were performed. The patient remained stable with moderate neurologic deficits.
