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[Two cases of spinal arteriovenous malformation presenting with subarachnoid hemorrhage].
No Shinkei Geka. 2004 Jun; 32(6):605-11.NS

Abstract

Two cases of spinal arteriovenous malformation (AVM) with subarachnoid hemorrhage (SAH) are reported. The first case is that of a 14-year-old boy who was transferred to our hospital with a sudden onset of headache. Neurological examination revealed no motosensory deficit, but a brain CT showed a slight diffuse SAH. A left vertebral angiogram demonstrated intramedullary AVM in the cervical region of the spinal cord. This AVM was therefore occluded using a solid embolization material. The patient was then discharged without neurological deficit. The second case is that of a 67-year-old man who visited our hospital with a sudden onset of headache. Neurological examination revealed no motor or sensory deficit, but a brain CT showed SAH, which was dominant in the posterior fossa. Initial cerebral angiography demonstrated no abnormality such as cerebral aneurysm or AVM except for laterality of the C1 radiculo-meningeal artery. A second angiogram on day 11 demonstrated spinal arteriovenous fistula (AVF), which was fed by the left radiculo-meningeal artery and drained to the posterior spinal vein. Embolization for the AVF was performed using liquid material. He was then discharged without neurological deficit. These two cases revealed non-specific SAH symptoms and were indistinguishable from other ruptured aneurysms. Although the brain CT can show a slight SAH or posterior fossa dominant SAH, repeated angiography may be necessary to verify and conclude the diagnosis of spinal AVM.

Authors+Show Affiliations

Department of Neurosurgery, Sasebo City General Hospital. kenkunijp@yahoo.co.jpNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

jpn

PubMed ID

15352630

Citation

Hayashi, Kentaro, et al. "[Two Cases of Spinal Arteriovenous Malformation Presenting With Subarachnoid Hemorrhage]." No Shinkei Geka. Neurological Surgery, vol. 32, no. 6, 2004, pp. 605-11.
Hayashi K, Takahata H, Nakamura M. [Two cases of spinal arteriovenous malformation presenting with subarachnoid hemorrhage]. No Shinkei Geka. 2004;32(6):605-11.
Hayashi, K., Takahata, H., & Nakamura, M. (2004). [Two cases of spinal arteriovenous malformation presenting with subarachnoid hemorrhage]. No Shinkei Geka. Neurological Surgery, 32(6), 605-11.
Hayashi K, Takahata H, Nakamura M. [Two Cases of Spinal Arteriovenous Malformation Presenting With Subarachnoid Hemorrhage]. No Shinkei Geka. 2004;32(6):605-11. PubMed PMID: 15352630.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Two cases of spinal arteriovenous malformation presenting with subarachnoid hemorrhage]. AU - Hayashi,Kentaro, AU - Takahata,Hideaki, AU - Nakamura,Minoru, PY - 2004/9/9/pubmed PY - 2004/9/21/medline PY - 2004/9/9/entrez SP - 605 EP - 11 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 32 IS - 6 N2 - Two cases of spinal arteriovenous malformation (AVM) with subarachnoid hemorrhage (SAH) are reported. The first case is that of a 14-year-old boy who was transferred to our hospital with a sudden onset of headache. Neurological examination revealed no motosensory deficit, but a brain CT showed a slight diffuse SAH. A left vertebral angiogram demonstrated intramedullary AVM in the cervical region of the spinal cord. This AVM was therefore occluded using a solid embolization material. The patient was then discharged without neurological deficit. The second case is that of a 67-year-old man who visited our hospital with a sudden onset of headache. Neurological examination revealed no motor or sensory deficit, but a brain CT showed SAH, which was dominant in the posterior fossa. Initial cerebral angiography demonstrated no abnormality such as cerebral aneurysm or AVM except for laterality of the C1 radiculo-meningeal artery. A second angiogram on day 11 demonstrated spinal arteriovenous fistula (AVF), which was fed by the left radiculo-meningeal artery and drained to the posterior spinal vein. Embolization for the AVF was performed using liquid material. He was then discharged without neurological deficit. These two cases revealed non-specific SAH symptoms and were indistinguishable from other ruptured aneurysms. Although the brain CT can show a slight SAH or posterior fossa dominant SAH, repeated angiography may be necessary to verify and conclude the diagnosis of spinal AVM. SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/15352630/[Two_cases_of_spinal_arteriovenous_malformation_presenting_with_subarachnoid_hemorrhage]_ L2 - https://webview.isho.jp/openurl?rft.genre=article&rft.issn=0301-2603&rft.volume=32&rft.issue=6&rft.spage=605 DB - PRIME DP - Unbound Medicine ER -