Cerebral Venous Infarction After AVM Resection: Pictorial
Language English Country Austria Media print
Document type Case Reports, Journal Article
- Keywords
- Cerebral arteriovenous malformation, venous occlusive disease,
- MeSH
- Cerebral Infarction * etiology surgery MeSH
- Intracranial Arteriovenous Malformations * surgery complications MeSH
- Humans MeSH
- Magnetic Resonance Imaging MeSH
- Cerebral Veins surgery diagnostic imaging MeSH
- Postoperative Complications etiology surgery MeSH
- Aged MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
A case report of a 68-year-old otherwise-healthy female patient with Spetzler-Martin (SM) grade I arteriovenous malformation (AVM) in her left frontal region is presented. After an uneventful surgery, cerebral venous infarction developed, and the patient was rendered hemiparetic with motor aphasia. After bony decompression, slow improvement was seen, and 3 months after surgery, the patient was neurologically intact. Six months after AVM resection, cranioplasty was performed. Infarction was caused by the thrombosis of a long primary draining vein, which finished its course in the normal cortical venous system. The case supports the venous origin of postoperative bleeding after AVM resection instead of the normal perfusion pressure phenomenon.
See more in PubMed
Spetzler RF, Wilson CB, Weinstein P, Mehdorn M, Townsend J, Telles D. Normal perfusion pressure breakthrough theory. Clin Neurosurg. 1978;25:651–72. PubMed DOI
Beneš V. Arteriovenous malformations. NPPB modeling. Doctoral thesis. Charles University Prague, 1998, p. 312.
Yasargil MG. Microneurosurgery. IIIB. AVM of the brain, clinical considerations, general and special operative techniques, surgical results, nonoperated cases, cavernous and venous angiomas, neuroanesthesia. Stuttgart: Thieme; 1988. p. 479.
