Severe Symptomatic Vasospasm following Intraventricular Hemorrhage from Arteriovenous Fistula
Journal of Korean Neurosurgical Society
;
: 300-302, 2009.
Article
in English
| WPRIM
| ID: wpr-212256
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Papaverine
/
Rupture
/
Subarachnoid Hemorrhage
/
Carotid Artery, Internal
/
Arteriovenous Fistula
/
Angioplasty
/
Corpus Callosum
/
Anterior Cerebral Artery
/
Middle Cerebral Artery
/
Vasospasm, Intracranial
Type of study:
Diagnostic study
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2009
Type:
Article
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