Multiple stage treatment arteriovenous malformations rupture with intracerebral hematoma formations: a case report


  • Yuris L. Dzenis Pauls Stradins Clinical University Hospital, Riga, Latvia
  • Karlis J. Kupchs Pauls Stradins Clinical University Hospital, Riga, Latvia
  • Zanda Y. Arajuma Latvian University, Medical faculty, Riga, Latvia



intracranial hematoma, arteriovenous malformation, associated with aneurism, microsurgery, embolization, autocranioplasty


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).

Author Biographies

Yuris L. Dzenis, Pauls Stradins Clinical University Hospital, Riga

Neurosurgical Clinic

Karlis J. Kupchs, Pauls Stradins Clinical University Hospital, Riga

Neurosurgical Clinic


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How to Cite

Dzenis, Y. L., Kupchs, K. J., & Arajuma, Z. Y. (2017). Multiple stage treatment arteriovenous malformations rupture with intracerebral hematoma formations: a case report. Ukrainian Neurosurgical Journal, (3), 46–51.



Case Report