TY - JOUR
T1 - Spontaneous thrombosis of deep brain arteriovenous malformation in a patient with intraventricular and subarachnoid hemorrhage
AU - Ulumuddin, Muhammad Ikhya’
AU - Sani, Achmad Firdaus
AU - Kurniawan, Dedy
N1 - Publisher Copyright:
© 2023
PY - 2023/10
Y1 - 2023/10
N2 - The most common manifestation of brain arteriovenous malformations (BAVM) is intracranial hemorrhage. The incidence of ruptured BAVM is 3.5 per 100,000 people per year. The mortality rate of ruptured BAVM within 1 month after diagnosis was 12.7%. Spontaneous thrombosis occurs in less than 1.5% of ruptured BAVMs. This phenomenon was still elusive. Up until now, the gold standard of imaging examination has been cerebral digital subtraction angiography (DSA), whose sensitivity and specificity reach 100%. We reported the spontaneous thrombosis of a ruptured deep BAVM. An 18-year-old woman presented with severe headache and vomiting. The patient also complained of seizures. There was no body weakness, skewed face, or slurred speech. Cerebral computed tomography (CT) showed extensive hemorrhage in the ventricular system and subarachnoid space. Cerebral DSA showed a left subcortical BAVM and was found to have spontaneous thrombosis 3 weeks later when the patient was about to be embolized. Spontaneous thrombosis of ruptured BAVM may occur after intracranial hemorrhage. In this patient, spontaneous thrombosis occurred within 3 weeks.
AB - The most common manifestation of brain arteriovenous malformations (BAVM) is intracranial hemorrhage. The incidence of ruptured BAVM is 3.5 per 100,000 people per year. The mortality rate of ruptured BAVM within 1 month after diagnosis was 12.7%. Spontaneous thrombosis occurs in less than 1.5% of ruptured BAVMs. This phenomenon was still elusive. Up until now, the gold standard of imaging examination has been cerebral digital subtraction angiography (DSA), whose sensitivity and specificity reach 100%. We reported the spontaneous thrombosis of a ruptured deep BAVM. An 18-year-old woman presented with severe headache and vomiting. The patient also complained of seizures. There was no body weakness, skewed face, or slurred speech. Cerebral computed tomography (CT) showed extensive hemorrhage in the ventricular system and subarachnoid space. Cerebral DSA showed a left subcortical BAVM and was found to have spontaneous thrombosis 3 weeks later when the patient was about to be embolized. Spontaneous thrombosis of ruptured BAVM may occur after intracranial hemorrhage. In this patient, spontaneous thrombosis occurred within 3 weeks.
KW - Brain AVM
KW - Intraventricular hemorrhage
KW - Spontaneous thrombosis
KW - Subarachnoid hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=85171647443&partnerID=8YFLogxK
U2 - 10.1016/j.radcr.2023.07.040
DO - 10.1016/j.radcr.2023.07.040
M3 - Article
AN - SCOPUS:85171647443
SN - 1930-0433
VL - 18
SP - 3620
EP - 3625
JO - Radiology Case Reports
JF - Radiology Case Reports
IS - 10
ER -