IntroductionThere is no consensus in the treatment strategy of intracranial aneurysms (IAs) associated with brain arteriovenous malformation (BAVM). In particular, it is unknown if a more aggressive approach should be considered in patients harboring a BAVM, in whom multiple aneurysms or a history of aneurysmal subarachnoid hemorrhage (aSAH) is present. Case presentationWe report on an elderly woman harboring multiple aneurysms with a history of SAH due to rupture of an unrelated IA. On evaluation, she was also found to harbor a contralateral, left parietal convexity BAVM. Following resection of the latter, spontaneous regression of two large flow-related aneurysms was encountered. DiscussionWe discuss the therapeutic decision-making, risk stratification, and functional outcome in this patient with regard to the pertinent literature on the risk of hemorrhage in IAs associated with BAVM.
机构:Johns Hopkins Med Inst, Russell H Morgan Dept Radiol & Radiol Sci, Div Intervent Neuroradiol, Baltimore, MD 21287 USA
Bansal, Anshuman
Gailloud, Philippe
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机构:Johns Hopkins Med Inst, Russell H Morgan Dept Radiol & Radiol Sci, Div Intervent Neuroradiol, Baltimore, MD 21287 USA
Gailloud, Philippe
Jordan, Lori
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Johns Hopkins Med Inst, Dept Neurol, Baltimore, MD 21287 USAJohns Hopkins Med Inst, Russell H Morgan Dept Radiol & Radiol Sci, Div Intervent Neuroradiol, Baltimore, MD 21287 USA
Jordan, Lori
Ruiz, Diego San Millan
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Johns Hopkins Med Inst, Russell H Morgan Dept Radiol & Radiol Sci, Div Intervent Neuroradiol, Baltimore, MD 21287 USAJohns Hopkins Med Inst, Russell H Morgan Dept Radiol & Radiol Sci, Div Intervent Neuroradiol, Baltimore, MD 21287 USA
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GEORGE WASHINGTON UNIV, MED CTR, DEPT NEUROL SURG, WASHINGTON, DC 20037 USAGEORGE WASHINGTON UNIV, MED CTR, DEPT NEUROL SURG, WASHINGTON, DC 20037 USA
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First Hosp Jilin Univ, Dept Neurol, Changchun, Peoples R ChinaFirst Hosp Jilin Univ, Dept Neurol, Changchun, Peoples R China
Li, Guichen
Wang, Guangming
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First Hosp Jilin Univ, Dept Neurosurg, Xinmin St 71, Changchun 130021, Peoples R ChinaFirst Hosp Jilin Univ, Dept Neurol, Changchun, Peoples R China
Wang, Guangming
Yu, Jing
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First Hosp Jilin Univ, Dept Operat Room, Changchun, Peoples R ChinaFirst Hosp Jilin Univ, Dept Neurol, Changchun, Peoples R China
Yu, Jing
Hou, Kun
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First Hosp Jilin Univ, Dept Neurosurg, Xinmin St 71, Changchun 130021, Peoples R ChinaFirst Hosp Jilin Univ, Dept Neurol, Changchun, Peoples R China
Hou, Kun
Yu, Jinlu
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First Hosp Jilin Univ, Dept Neurosurg, Xinmin St 71, Changchun 130021, Peoples R ChinaFirst Hosp Jilin Univ, Dept Neurol, Changchun, Peoples R China
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Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USA
Raper, Daniel M. S.
Winkler, Ethan A.
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Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USA
Winkler, Ethan A.
Rutledge, W. Caleb
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Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USA
Rutledge, W. Caleb
Hetts, Steven W.
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Univ Calif San Francisco, Dept Radiol & Biomed Imaging, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USA
Hetts, Steven W.
Abla, Adib A.
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Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USA