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Brain arteriovenous malformation recurrence-recanalization or rebirth?

journal contribution
posted on 2016-10-01, 00:00 authored by A Khalil, Terry Kok, P Brennan, M Javadpour, D Rawluk, Hamed AsadiHamed Asadi
BACKGROUND: Bleeding secondary to recurrences of spontaneously obliterated arteriovenous malformations (AVMs) is an extremely rare occurrence. CASE DESCRIPTION: We report a 25-year-old man with cerebellar hemorrhage secondary to a recurrent AVM. His current admission with bleeding from a ruptured cerebellar AVM followed a previous presentation 15 years earlier with the similar clinical picture of AVM rupture within the same vascular territory. At that time, he was managed conservatively with follow-up digital subtraction angiography (DSA) 2 years later, confirming no residuum of the AVM. At the current presentation, he had DSA confirming AVM recurrence. He was managed by complete excision of the AVM via a suboccipital craniotomy. CONCLUSION: This case illustrates the need for long-term imaging follow-up to exclude recanalization even many years after AVM obliteration.

History

Journal

World neurosurgery

Volume

94

Pagination

581.e1 - 581.e4

Publisher

Elsevier

Location

Amsterdam, The Netherlands

eISSN

1878-8769

Language

eng

Publication classification

C2.1 Other contribution to refereed journal

Copyright notice

2016, Elseiver

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