Open AccessVasospasm after intraventricular hemorrhage caused by arteriovenous malformation
Author(s) -
Wei-Lung Tseng,
Yi-Hsin Tsai
Publication year - 2015
Publication title -
asian journal of neurosurgery
Language(s) - Uncategorized
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/1793-5482.154984
Subject(s) - medicine , vasospasm , intraventricular hemorrhage , arteriovenous malformation , embolization , angiography , subarachnoid hemorrhage , thrombosis , radiology , cardiology , anesthesia , surgery , pregnancy , biology , genetics , gestational age
Intraventricular hemorrhage (IVH) induced vasospasm is rare in clinical practice. We report a case with vasospasm 10 days after IVH due to thalamic bleeding from an arteriovenous malformation. The vasospasm was so severe that transarterial embolization failed. Follow-up angiography could not reveal the vascular lesion and spontaneous thrombosis was considered. The discussion includes literature review and possible mechanism of such phenomenon. IVH-related vasospasm is rare but should always be kept in mind. Early detection with proper treatment provides better clinical outcome in such cases.