Madhugiri Venkatesh S, Arimappamagan Arivazhagan, Chandramouli Bangalore A
Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Asian J Neurosurg. 2012 Oct;7(4):210-3. doi: 10.4103/1793-5482.106657.
We report a rare case of a patient with a pial arteriovenous malformation (AVM) who presented in altered sensorium. He was found to have large epidural and subdural hematomas overlying a pial AVM. He underwent evacuation of these hematomas and postop computed tomography showed infarcts deep to the site of hematoma evacuation. These infarcts were postulated to be due to a steal phenomenon combined with raised intracranial pressure. The management and possible mechanisms for this rare combination are discussed.
我们报告了一例罕见病例,一名患有软膜动静脉畸形(AVM)的患者出现意识改变。发现其在软膜AVM上方有大量硬膜外和硬膜下血肿。他接受了这些血肿的清除手术,术后计算机断层扫描显示在血肿清除部位深部有梗死灶。推测这些梗死灶是由于盗血现象合并颅内压升高所致。本文讨论了这种罕见组合的处理方法及可能机制。