Treatment of arteriovenous malformations associated with ruptured intracranial aneurysm

Authors

  • Le Minh Thang Digital subtraction angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Viet Nam
  • Tran Chi Cuong Digital subtraction angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Viet Nam
  • Nguyen-Dao Nhat Huy Digital subtraction angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Viet Nam
  • Nguyen Luu Giang Digital subtraction angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Viet Nam
  • Nguyen Quang Hung Department of Surgery, Can Tho S.I.S General Hospital, Can Tho, Viet Nam
  • Nguyen Hai Dang Department of Surgery, Can Tho S.I.S General Hospital, Can Tho, Viet Nam
  • Ton Nu Thi Diem Department of Surgery, Can Tho S.I.S General Hospital, Can Tho, Viet Nam
  • Nguyen Trung Tinh Department of Surgery, Can Tho S.I.S General Hospital, Can Tho, Viet Nam
  • Nguyen Minh Duc Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet Nam https://orcid.org/0000-0001-5411-1492

DOI:

https://doi.org/10.15419/bmrat.v10i4.801

Keywords:

arteriovenous malformations, subarachnoid hemorrhage, multidisciplinary treatment

Abstract

Spontaneous subarachnoid hemorrhage (SAH) is a specific characteristic of aneurysmal rupture. SAH coexisting with arteriovenous malformations is challenging to treat because the patient status at admission is severe and the therapeutic approach is multidisciplinary: endovascular treatment, cerebral fluid drainage, and decompressive craniectomy. We report a clinical case successfully treated for cerebellar hemorrhage due to a ruptured aneurysm with arteriovenous malformations. A 65-year-old woman was admitted to Can Tho SIS General Hospital within six hours of stroke onset. She experienced loss of consciousness, aphasia, and high blood pressure. Non-contrast computed tomography showed a diffused SAH in both cerebellum hemispheres, Sylvian fissure, intraventricular hemorrhage, and non-communicating hydrocephalus. Her medical history included uncontrolled hypertension. The patient underwent multidisciplinary treatment for hydrocephalus, cerebellar edema, and embolization to control recurrent ruptured arteriovenous malformations. She recovered well and was discharged on day 30 with a Modified Rankin Scale score of 1.

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Published

2023-04-30

Issue

Section

Case report

How to Cite

Treatment of arteriovenous malformations associated with ruptured intracranial aneurysm. (2023). Biomedical Research and Therapy, 10(4), 5614-5618. https://doi.org/10.15419/bmrat.v10i4.801

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