Shah Abhidha, Patni Neeraj, Ramdasi Raghvendra, Goel Atul
Department of Neurosurgery, Seth G. S. Medical College and K.E.M Hospital, Parel, Mumbai, Maharashtra, India.
Asian J Neurosurg. 2017 Apr-Jun;12(2):207-210. doi: 10.4103/1793-5482.145150.
We report a case of a young girl who was admitted with history of sudden onset left hemiplegia, when she was 5 years old. Investigations revealed no vascular malformation or abnormality. On conservative treatment, she progressively improved and had residual hemiparesis. She continued to have intermittent episodes of generalized and focal convulsions. For persistent convulsions, she was investigated again with MRI and angiography after 5 years of first presentation. Investigations at this time revealed a large arteriovenous malformation in the left posterior frontal region. The arteriovenous malformation was resected by surgery. Following surgery, the episodes of convulsions reduced. Arteriovenous malformations are generally considered to be congenital lesions and their size and physical architecture generally remains constant. The presented case clearly demonstrated appearance or growth of the size of the arteriovenous malformation. Such a pattern of development and growth of a arteriovenous malformation is rare and only infrequently reported.
我们报告了一例年轻女孩的病例，她5岁时因突发左侧偏瘫入院。检查未发现血管畸形或异常。经过保守治疗，她逐渐好转，但仍有残留偏瘫。她继续间歇性出现全身性和局灶性惊厥发作。对于持续性惊厥，在首次就诊5年后，她再次接受了MRI和血管造影检查。此时的检查发现左后额叶区域有一个大型动静脉畸形。该动静脉畸形通过手术切除。手术后，惊厥发作次数减少。动静脉畸形通常被认为是先天性病变，其大小和结构通常保持不变。本病例清楚地显示了动静脉畸形的外观或大小增长。这种动静脉畸形的发展和生长模式很罕见，仅有很少的报道。
