H-Index
14
Scimago Lab
powered by Scopus
eISSN: 1941-5923
call: +1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Logo


Get your full text copy in PDF

Diagnostic problems with recurrent intracerebral bleeding
in a 10-year-old boy

Piotr Bełdziński, Małgorzata Lemka, Ewa Pilarska, Maria Mazurkiewicz-Bełdzińska, Ewa Dilling-Ostrowska, Paweł Słoniewski

CaseRepClinPractRev 2002; 3(4):268-272

ID: 474491


Background: Intracranial arteriovenous malformations (AVMs) are congenital lesions, which occur with approximate frequency reaching 1.5% to 3% of the population. In children, hemorrhage is the initial presenting syndrome in 25% cases. In the majority of cases it is a severe intracerebral or intraventricular bleeding without other symptoms. This causes higher mortality rate in this group as compared with adult patients (25% vs. 6–10%). The diagnosis is based on computed tomography (CT), magnetic resonance imaging (MRI) and cerebral angiography (AG). Surgical extirpation of the lesions, embolization or radiosurgery, alone or in combinations, are the methods of choice in therapy.
Case Report: A 10-years-old boy who suffered from three intracerebral bleedings from the arteriovenous malformation located in the occipital lobe is presented. Cerebral angiography performed after the second bleeding, revealed an aneurysm of the posterior right chorioideal artery as the cause of bleedings. The operation was performed with the use of a neuronavigation tool.
Conclusions: The neuronavigation tool gave us the direct view into the location of pathology and enabled us to verify in situ the pre-operative diagnosis – none aneurysm were found The AVM could be totally resected using minimally invasive technique.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree