Brain Abscesses After Endovascular Embolization of a Brain Arteriovenous Malformation with Squid
| Autor: | Anne-Laure Bernat, Roxane Peres, Roland Jabre, Sébastien Froelich |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Intracranial Arteriovenous Malformations
Male Microsurgery medicine.medical_specialty Antibiotic regimen medicine.medical_treatment Brain Abscess 03 medical and health sciences 0302 clinical medicine Enterococcus faecalis medicine Humans Embolization Endovascular treatment Brain abscess Gram-Positive Bacterial Infections Aged business.industry Arteriovenous malformation medicine.disease Embolization Therapeutic Magnetic Resonance Imaging 030220 oncology & carcinogenesis Brain lesions Polyvinyls Surgery Neurology (clinical) Radiology Complication business Previously treated 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 132:29-32 |
| ISSN: | 1878-8750 |
| Popis: | Background The use of nonadhesive liquid embolic agents (NALEAs) has gained great popularity in the treatment of brain vascular malformations, with a lower rate of local complications than surgery. However, we describe the formation of brain abscesses after endovascular treatment of a brain arteriovenous malformation (bAVM) and how important removal of the NALEAs was in the treatment of these abscesses. Case Description A 68-year-old man presented with seizures after being treated for an unruptured bAVM using Squid (Emboflu), an NALEA. Radiologic imaging revealed brain lesions suspicious of abscesses around the previously treated bAVM. A surgical excision of the bAVM and the embolized material was performed as was drainage of the brain abscesses. Bacterial cultures were positive for Enterococcus faecalis, and the patient left the hospital with an appropriate antibiotic regimen without new deficits. Conclusions This is the first reported case of a bAVM treated with Squid complicated with brain abscesses, a rare but very serious complication. This complication should be treated not only using antibiotherapy but with complete safe removal of the embolic material. |
| Databáze: | OpenAIRE |
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