Spontaneous thrombosis of deep brain arteriovenous malformation in a patient with intraventricular and subarachnoid hemorrhage

Muhammad Ikhya’ Ulumuddin, Achmad Firdaus Sani, Dedy Kurniawan

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)3620-3625
Number of pages6
JournalRadiology Case Reports
Volume18
Issue number10
DOIs
Publication statusPublished - Oct 2023

Keywords

  • Brain AVM
  • Intraventricular hemorrhage
  • Spontaneous thrombosis
  • Subarachnoid hemorrhage

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