A Young Male with Spontaneous Ruptured Cerebral Arteriovenous Malformation (Case Report)

  • Vitorino M. Santos Internal Medicine Department from Armed Forces Hospital, Brasília-DF, Brazil
  • Leandro P. Flores Neurourgery Division from Armed Forces Hospital, Brasília-DF, Brazil
  • Isabella A. Barros Catholic University of Brasília, Brasília-DF, Brazil
  • Priscilla S. Faria Catholic University of Brasília, Brasília-DF, Brazil
  • Carolina P. Lamounier Catholic University of Brasília, Brasília-DF, Brazil
  • Renata A. Casasanta Catholic University of Brasília, Brasília-DF, Brazil

Abstract

Background: Cerebral arteriovenous malformation (AVM) is considered a congenital condition characterized by arterial-venous connections in the absence of intermediate capillaries with circulatory and functional changes, inclusive on the cerebrospinal fluid (CSF) dynamics. Case: A previously healthy young man with abrupt onset of intense headache followed by incoercible vomiting and generalized tonic-clonic seizures. On admission, he was in Glasgow scale IV with respiratory gasping, signs of decerebration and anisocoric mydriasis, and right paresis. Computed tomography showed left intraparenchymal hematoma and intraventricular blood. The abnormal vessels and blood clots were removed by neurosurgery. In early postoperative phase a large cerebrospinal fluid leak developed, and was aspirated and further controlled. The patient had respiratory complications, including pulmonary infection by Pseudomonas. Conclusions: After longstanding hospitalization, he was referred to other medical institution and home care.

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Author Biographies

Vitorino M. Santos, Internal Medicine Department from Armed Forces Hospital, Brasília-DF, Brazil
Catholic University of Brasília, Brasília-DF, Brazil
Leandro P. Flores, Neurourgery Division from Armed Forces Hospital, Brasília-DF, Brazil
Neurourgery Division from Armed Forces Hospital, Brasília-DF, Brazil
Isabella A. Barros, Catholic University of Brasília, Brasília-DF, Brazil
Catholic University of Brasília, Brasília-DF, Brazil
Priscilla S. Faria, Catholic University of Brasília, Brasília-DF, Brazil
Catholic University of Brasília, Brasília-DF, Brazil
Carolina P. Lamounier, Catholic University of Brasília, Brasília-DF, Brazil
Catholic University of Brasília, Brasília-DF, Brazil
Renata A. Casasanta, Catholic University of Brasília, Brasília-DF, Brazil
Catholic University of Brasília, Brasília-DF, Brazil
Published
2016-04-30
How to Cite
SANTOS, Vitorino M. et al. A Young Male with Spontaneous Ruptured Cerebral Arteriovenous Malformation (Case Report). BALI MEDICAL JOURNAL, [S.l.], v. 5, n. 1, apr. 2016. ISSN 2302-2914. Available at: <https://ojs.unud.ac.id/index.php/bmj/article/view/21791>. Date accessed: 13 nov. 2024.
Section
Articles

Keywords

Brain arteriovenous malformation, cerebral hemorrhage, cerebrospinal fluid