Multiple stage treatment arteriovenous malformations rupture with intracerebral hematoma formations: a case report
DOI:
https://doi.org/10.25305/unj.112107Keywords:
intracranial hematoma, arteriovenous malformation, associated with aneurism, microsurgery, embolization, autocranioplastyAbstract
This article describes a clinical case of arteriovenous malformation (AVM) associated with aneurism in a young woman. Its rupture caused intracerebral hematoma (ICH) in left parietal lobar of the brain. The initial condition of the patient was severe: coma, 5 scores by Glasgow Coma Scale and respiratory malfunction.
Surgical therapy included microsurgical ICH evacuation with afferent blood vessel coagulation and ICP-sensor implantation, AVM embolization and autocranioplasty.
Hemiplegia developed after the first microsurgical operation. At an early stage, antioxidants were included into the therapy complex. In twelve months the patient was still having local weakness in right foot, which didn`t disturb the movement (Glasgow Outcome Scale 5).
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