Case report demonstrates successful treatment of arteriovenous malformation complicated by acute subdural hemorrhage, indicating an effective surgical approach.
We treated a patient with arteriovenous malformation (AVM) complicated by acute subdural hematoma (ASDH) resulting in cardiopulmonary arrest. A 12-year-old boy suddenly developed severe headache and disturbance of consciousness (3 on the Glasgow Coma Scale). He was in cardiopulmonary arrest, but heartbeat was restored during cardiopulmonary resuscitation in the ambulance. Computed tomography images of the head showed an AVM-induced intracerebral hematoma in the left occipital lobe and left ASDH, which was removed in an emergency procedure. Consciousness improved with normalization of intracranial pressure. The main feeder of the AVM was embolized on the 71st hospital day, and the AVM was resected on the following day. Postoperative course was satisfactory, and the patient was discharged with no neurologic abnormalities. Emergent treatment and a stepwise surgical strategy resulted in a satisfactory therapeutic outcome for AVM complicated by ASDH.
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Keita et al. (2015) studied this question.
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