Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Severe Symptomatic Vasospasm following Intraventricular Hemorrhage from Arteriovenous Fistula

  • Park, Beom-Seok (Departments of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Won, Yu-Sam (Departments of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Choi, Chun-Sik (Departments of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Byung-Moom (Departments of Diagnostic Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • Published : 2009.05.28
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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.

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References

  1. Arutiunov AI, Baron MA, Majorova NA : Experimental and clinical study of the development of spasm of the cerebral arteries related to subarachnoid hemorrhage. J Neurosurg 32 : 617-625, 1970 https://doi.org/10.3171/jns.1970.32.6.0617
  2. Delgado TJ, Diemer NH, Svendgard NA : Subarachnoid hemorrhage in the rat : cerebral blood flow and glucose metabolism after selective lesions of the catecholamine systems in the brainstem. J Cereb Blood Flow Metab 6 : 600-606, 1986 https://doi.org/10.1038/jcbfm.1986.107
  3. Fisher CM, Kistler JP, Davis JM : Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6 : 1-9, 1980 https://doi.org/10.1227/00006123-198001000-00001
  4. Kobayashi M, Takayama H, Mihara B, Kawase T : Severe vasospasm caused by repeated intraventricular haemorrhage from small arteriovenous malformation. Acta Neurochir (Wien) 144 : 405-406, 2002 https://doi.org/10.1007/s007010200059
  5. Kothbauer K, Schroth G, Seiler RW, Do DD : Severe symptomatic vasospasm after rupture of an arteriovenous malformation. AJNR Am J Neuroradiol 16 : 1073-1075, 1995
  6. Kurita H, Maeda K, Kirino T : Arteriovenous malformations and vasosopasm. J Neurosurg 88 : 934-935, 1998 (Letter)
  7. Maeda K, Kurita H, Nakamura T, Usui M, Tsutsumi K, Morimoto T, et al : Occurrence of severe vasospasm following intraventricular hemorrhage from an arteriovenous malformation. J Neurosurg 87 : 436-439, 1997 https://doi.org/10.3171/jns.1997.87.3.0436
  8. Moon CT : Pathogenesis of cerebral vasospasm. J Korean Neurosurg Soc 28 : 1208-1214, 1999
  9. Parkinson D, Bachers G : Arteriovenous malformations. Summary of 100 consecutive supratentorial cases. J Neurosurg 53 : 285-299, 1980 https://doi.org/10.3171/jns.1980.53.3.0285
  10. Svendgaard NA, Arbab MA, Delgado TJ, Rosengren E : Effect of selective lesions of medullary catecholamine nuclei on experimental cerebral vasospasm in the rat. J Cereb Blood Flow Metab 7 : 21-28, 1987 https://doi.org/10.1038/jcbfm.1987.4
  11. Wilkins RH : Hypothalamic dysfunction and intracranial arterial spasms. Surg Neurol 4 : 472-480, 1975
  12. Wilkins RH, Rengachary SS : . New York : McGraw-Hill, 1991, pp78-94
  13. Yanaka K, Hyodo A, Tsuchida Y, Yoshii Y, Nose T : Symptomatic cerebral vasospasm after intraventricular hemorrhage from ruptured arteriovenous malformation. Surg Neurol 38 : 63-67, 1992 https://doi.org/10.1016/0090-3019(92)90214-8
  14. Zubkov AY, Lewis AI, Scalzo D : Transluminal angioplasty and intra-arterial papaverine for the treatment of cerebral vasospasm after ruptured arteriovenous malformations. Surg Neurol 51 : 75-79; discussion 80, 1999 https://doi.org/10.1016/S0090-3019(98)00031-7

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