Ali KORULMAZ, Mehmet ALAKAYA, Ali Ertuğ ARSLANKÖYLÜ, Kaan ESEN, Sadık KAYA

Arteriovenöz malformasyona bağlı spontan intraventriküler kanama

Arteriovenöz malformasyonlar intrakraniyal vasküler yapıların gelişimsel anomalileridir. Bunlar çoğu hastada intrakranial kanama ve epilepsiye neden olma potansiyeline sahip serebrovasküler malformasyonların en tehlikelisidir. Erkek ve kadınlarda eşit oranlarda görülürler. Yaygın olarak ikinci ve üçüncü dekadlarda bulguları ortaya çıkar. Etkilenen birçok insan yaşam boyu asemptomatik kalabilir. Bu olgu sunumunda, erken yaşta bulgu vermesi nadir olan arteriovenöz malformasyonun en önemli komplikasyonu olan serebral kanama ile başvuran 17 yaşındaki çocuk vaka sunulmuştur.

Anahtar Kelimeler:

Arteiovenöz malformasyon, , intraventriküler kanama, bilinç kaybı

Spontaneous intraventricular bleeding due to arteriovenous malformation

Arteriovenous malformations are developmental anomalies of intracranial vascular structures. These are the most dangerous ones of cerebrovascular malformations that have the potential to cause intracranial hemorrhage and epilepsy in most patients. They are seen equally in men and women. Symptoms occur commonly in the second and third decades. Many affected people may remain asymptomatic for life. In this case report, a 17-year-old boy who presented with cerebral hemorrhage, which is the most important complication of arteriovenous malformation and rarely manifested at an early age, is presented.

Keywords:

Arteriovenous malformation, intraventricular hemorrhage, loss of consciousness,

PDF

___

1. Kliegman RM, Stanton BF, Schor NF, St Geme JW, Behrman RE. Nelson Textbook of Pediatrıcs, 19. Baskı, Türkçe Çeviri. Nobel Tıp Kitapevleri, İstanbul: 2015: 2084, 2225
2. Englot DJ, Young WL, Han SJ, McCulloch CE, Chang EF, Lawton MT. Seizure predictors and control after microsurgical resection of supratentorial arteriovenous malformations in 440 patients. Neurosurgery. 2012; 71(3): 572-80. doi: 10.1227/neu. 0b013e31825ea3ba
3. Mohr JP, Kejda-Scharler J, Pile-Spellman J. Diagnosis and treatment of arteriovenous malformations. Curr Neurol Neurosci Rep. 2013; 13(2): 324. doi: 10.1007/s11910-012-0324-1.
4. Derdeyn CP, Zipfel GJ, Albuquerque FC et al. Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2017; 48(8): 200-24. doi:10.1161/str.0000000000000134.
5. Lawton MT. Seven AVMs: Tenets and Techniques for Resection New York, Thieme, 2014
6. Gross BA, Pose D. Surgical and radiosurgical results of the treatment of cerebral arteriovenous malformations. J Clin Neurosci. 2012; 19(7): 1001-4. doi: 10.1016/j.jocn.2012.01.004.
7. Potts MB, Williams Y, Lawton MT et al. UCSF Brain AVM Study Project. Deep arteriovenous malformations in the basal ganglia, thalamus, and insula: multimodality management, patient selection, and resultsNeurosurgery. 2014; 82 (3-4): 386-94. doi: 10.1016/j.wneu.2014.03.033.