Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings

We report a rare case of a patient with a pial arteriovenous malformation (AVM) who presented in altered sensorium. He was found to have large epidural and subdural hematomas overlying a pial AVM. He underwent evacuation of these hematomas and postop computed tomography showed infarcts deep to the s...

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Autores principales: Madhugiri, Venkatesh S., Arimappamagan, Arivazhagan, Chandramouli, Bangalore A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613645/
https://www.ncbi.nlm.nih.gov/pubmed/23559990
http://dx.doi.org/10.4103/1793-5482.106657
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author Madhugiri, Venkatesh S.
Arimappamagan, Arivazhagan
Chandramouli, Bangalore A.
author_facet Madhugiri, Venkatesh S.
Arimappamagan, Arivazhagan
Chandramouli, Bangalore A.
author_sort Madhugiri, Venkatesh S.
collection PubMed
description We report a rare case of a patient with a pial arteriovenous malformation (AVM) who presented in altered sensorium. He was found to have large epidural and subdural hematomas overlying a pial AVM. He underwent evacuation of these hematomas and postop computed tomography showed infarcts deep to the site of hematoma evacuation. These infarcts were postulated to be due to a steal phenomenon combined with raised intracranial pressure. The management and possible mechanisms for this rare combination are discussed.
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spelling pubmed-36136452013-04-04 Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings Madhugiri, Venkatesh S. Arimappamagan, Arivazhagan Chandramouli, Bangalore A. Asian J Neurosurg Case Report We report a rare case of a patient with a pial arteriovenous malformation (AVM) who presented in altered sensorium. He was found to have large epidural and subdural hematomas overlying a pial AVM. He underwent evacuation of these hematomas and postop computed tomography showed infarcts deep to the site of hematoma evacuation. These infarcts were postulated to be due to a steal phenomenon combined with raised intracranial pressure. The management and possible mechanisms for this rare combination are discussed. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3613645/ /pubmed/23559990 http://dx.doi.org/10.4103/1793-5482.106657 Text en Copyright: © Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Madhugiri, Venkatesh S.
Arimappamagan, Arivazhagan
Chandramouli, Bangalore A.
Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings
title Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings
title_full Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings
title_fullStr Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings
title_full_unstemmed Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings
title_short Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings
title_sort traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: mechanisms underlying clinical and radiological findings
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613645/
https://www.ncbi.nlm.nih.gov/pubmed/23559990
http://dx.doi.org/10.4103/1793-5482.106657
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