Abstract:
:Acute subdural hematoma (SDH) of arterial origin is rare, especially SDH associated with an arteriovenous malformation (AVM) is extremely rare. The authors report a case of acute spontaneous SDH due to rupture of a tiny cortical AVM. A 51-year-old male presented with sudden onset headache and mentality deterioration without a history of trauma. Brain CT revealed a large volume acute SDH compressing the right cerebral hemisphere with subfalcine and tentorial herniation. Emergency decompressive craniectomy was performed to remove the hematoma and during surgery a small (5 mm sized) conglomerated aciniform mass with two surrounding enlarged vessels was identified on the parietal cortex. After warm saline irrigation of the mass, active bleeding developed from a one of the vessel. The bleeding was stopped by coagulation and the vessels were removed. Histopathological examination confirmed the lesion as an AVM. We concluded that a small cortical AVM existed at this area, and that the cortical AVM had caused the acute SDH. Follow up conventional angiography confirmed the absence of remnant AVM or any other vascular abnormality. This report demonstrates rupture of a cortical AVM is worth considering when a patient presents with non-traumatic SDH without intracerebral hemorrhage or subarachnoid hemorrhage.
journal_name
J Korean Neurosurg Socjournal_title
Journal of Korean Neurosurgical Societyauthors
Choi HJ,Lee JI,Nam KH,Ko JKdoi
10.3340/jkns.2015.58.6.547subject
Has Abstractpub_date
2015-12-01 00:00:00pages
547-9issue
6eissn
2005-3711issn
1598-7876journal_volume
58pub_type
abstract:OBJECTIVE:Clinical features of pituitary hemorrhage vary from asymptomatic to catastrophic. The purpose of this study was to evaluate the factors related to severity of hemorrhage of pituitary adenoma. METHODS:Pituitary hemorrhage was noted in 32 of 88 patients who underwent operations between January 2000 and Decembe...
journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
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更新日期:2009-07-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Journal of Korean Neurosurgical Society
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journal_title:Journal of Korean Neurosurgical Society
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pub_type: 杂志文章
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更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章,已发布勘误
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更新日期:2010-06-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
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更新日期:2014-06-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
pub_type:
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更新日期:2014-07-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
pub_type:
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更新日期:2011-12-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
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更新日期:2015-07-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2010-02-01 00:00:00