Spinal cord arteriovenous malformation in a toddler presenting with altered mental status and fever
Autor: | Yvonne Chow, Luke T. Day, Noah White, Rebecca Jeanmonod |
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Rok vydání: | 2008 |
Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage medicine.diagnostic_test Lumbar puncture business.industry Central nervous system Infant Magnetic resonance imaging Arteriovenous malformation General Medicine medicine.disease Spinal cord Spinal Cord Diseases Surgery Arteriovenous Malformations Lethargy medicine.anatomical_structure Angiography Emergency Medicine medicine Humans Female Radiology business Hydrocephalus |
Zdroj: | The American Journal of Emergency Medicine. 26:1072.e5-1072.e7 |
ISSN: | 0735-6757 |
DOI: | 10.1016/j.ajem.2008.03.049 |
Popis: | Central nervous system arteriovenous malformations (AVMs) are a rare cause of subarachnoid hemorrhage and neurologic deficits. About 90% of these lesions are supratentorial, with a smaller percentage occurring in the posterior fossa and an even smaller number found throughout the spine. Although spinal AVMs are uncommon, these disorders represent a treatable cause of significant morbidity in a young age group. We report a case of a T11-T12 spinal AVM in a 14-month-old girl presenting with low-grade fever and lethargy who was found to have subarachnoid hemorrhage on evaluation and describe a reasonable stepwise approach to these patients in the emergency department utilizing computed tomography, lumbar puncture, magnetic resonance imaging, and angiography. |
Databáze: | OpenAIRE |
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