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

Autor: Pilipenko Y; Federal State Autonomous Institution N. N. Burdenko National Medical Research Center Of Neurosurgery of the Ministry of Health of the Russian Federation (N.N. Burdenko NMRCN), Moscow, Russia. Electronic address: coronainfo@gmail.com., Konovalov A; Federal State Autonomous Institution N. N. Burdenko National Medical Research Center Of Neurosurgery of the Ministry of Health of the Russian Federation (N.N. Burdenko NMRCN), Moscow, Russia., Okishev D; Federal State Autonomous Institution N. N. Burdenko National Medical Research Center Of Neurosurgery of the Ministry of Health of the Russian Federation (N.N. Burdenko NMRCN), Moscow, Russia., Okisheva E; Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia., Eliava S; Federal State Autonomous Institution N. N. Burdenko National Medical Research Center Of Neurosurgery of the Ministry of Health of the Russian Federation (N.N. Burdenko NMRCN), Moscow, Russia., Gorozhanin V; Federal State Autonomous Institution N. N. Burdenko National Medical Research Center Of Neurosurgery of the Ministry of Health of the Russian Federation (N.N. Burdenko NMRCN), Moscow, Russia.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2018 Nov; Vol. 119, pp. 168-171. Date of Electronic Publication: 2018 Aug 02.
DOI: 10.1016/j.wneu.2018.07.226
Abstrakt: 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.
(Copyright © 2018. Published by Elsevier Inc.)
Databáze: MEDLINE
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