Spontaneous regression of multiple flow-related aneurysms following treatment of an associated brain arteriovenous malformation: A case report

被引:0
|
作者
Andereggen, Lukas [1 ,2 ]
Gruber, Philipp [3 ]
Anon, Javier [3 ]
Tortora, Angelo [1 ]
Steiger, Hans-Jakob [1 ]
Schubert, Gerrit A. [1 ]
Marbacher, Serge [1 ,2 ]
Remonda, Luca [2 ,3 ]
机构
[1] Kantonsspital Aarau, Dept Neurosurg, Aarau, Switzerland
[2] Univ Bern, Fac Med, Bern, Switzerland
[3] Kantonsspital Aarau, Dept Neuroradiol, Aarau, Switzerland
来源
FRONTIERS IN SURGERY | 2022年 / 9卷
关键词
intracranial aneurysm; arteriovenous malformation; subarachnoid hemorrhage; angiography; surgery; UNRUPTURED INTRACRANIAL ANEURYSMS; NATURAL-HISTORY; RISK; MANAGEMENT; HEMORRHAGE; MULTICENTER; COHORT; SERIES; SIZE;
D O I
10.3389/fsurg.2022.860416
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
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页数:6
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