Delayed hemorrhage from completely obliterated arteriovenous malformation after gamma knife radiosurgery - Case report

被引：10

作者：

Matsumoto, H ^{[1
]}

Takeda, T ^{[1
]}

Kohno, K ^{[1
]}

Yamaguchi, Y ^{[1
]}

Kohno, K ^{[1
]}

Takechi, A ^{[1
]}

Ishii, D ^{[1
]}

Abiko, M ^{[1
]}

Sasaki, U ^{[1
]}

机构：

[1] Ehime Prefectural Cent Hosp, Dept Neurosurg, Matsuyama, Ehime, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2006年 / 46卷 / 04期

关键词：

arteriovenous malformation; gamma knife; radiosurgery; hemorrhage;

D O I：

10.2176/nmc.46.186

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 43-year-old female was treated with gamma knife radiosurgery (GKS) for right frontal arteriovenous malformation (AVM) manifesting as absence seizures. Complete nidus obliteration was confirmed on angiography 4 years after GKS. However, she experienced recurrence of her previous seizures and delayed hemorrhage occurred within the treated nidus, despite absence of abnormalities by repeated angiography 81 months after GKS. She was treated conservatively and discharged home without neurological deficits. The risk of hemorrhage from obliterated AVM is significantly reduced but not eliminated after radiosurgery. Recanalization of thrombus that is too small to detect by neuroimaging may result in delayed hemorrhage.

引用

页码：186 / 190

页数：5

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