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Intracranial Gorgon: Surgical Case Report of a Large Calcified Brain Arteriovenous Malformation

Patient: Male, 55-year-old Final Diagnosis: Right frontal arteriovenous malformation, partially calcified • multiple generalised epileptic seizures • chronic headache Symptoms: Epilectic seizure • headache Medication: — Clinical Procedure: Neurosurgical resection of the right frontal AVM Specialty:...

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Autores principales: Florian, Ioan Alexandru, Popovici, Laura, Timis, Teodora Larisa, Florian, Ioan Stefan, Berindan-Neagoe, Ioana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200094/
https://www.ncbi.nlm.nih.gov/pubmed/32341328
http://dx.doi.org/10.12659/AJCR.922872
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author Florian, Ioan Alexandru
Popovici, Laura
Timis, Teodora Larisa
Florian, Ioan Stefan
Berindan-Neagoe, Ioana
author_facet Florian, Ioan Alexandru
Popovici, Laura
Timis, Teodora Larisa
Florian, Ioan Stefan
Berindan-Neagoe, Ioana
author_sort Florian, Ioan Alexandru
collection PubMed
description Patient: Male, 55-year-old Final Diagnosis: Right frontal arteriovenous malformation, partially calcified • multiple generalised epileptic seizures • chronic headache Symptoms: Epilectic seizure • headache Medication: — Clinical Procedure: Neurosurgical resection of the right frontal AVM Specialty: Neurosurgery OBJECTIVE: Rare disease BACKGROUND: Brain arteriovenous malformations (AVMs) are benign intracranial vascular anomalies that, under certain circumstances, may become life-threatening. Diffuse calcifications found in the vessel walls, interposing tissue or adjacent cerebral parenchyma are not uncommon, however, intense calcifications of AVMs that render them into veritable “brain stones” are scarcely reported in the literature and a genuine neurosurgical nightmare. CASE REPORT: A 55 years-old male patient lacking any personal history of serious morbidities or surgical interventions was referred to our department for several epileptic seizures and severe chronic headache in the parieto-occipital region. Upon clinical examination, the patient was aware, right-handed, and had no motor or sensory deficits. Computed tomography angiography scan showed a large densely calcified frontal AVM. The patient was subjected to neurosurgical removal of the lesion and was discharged a week later with a minor motor deficit of the left arm. CONCLUSIONS: Intracranial AVMs are a rare pathology, but a genuine microsurgical trial. The difficulty level soars when the malformed vessels become atherosclerotic and calcified, rendering bipolar ligation or permanent clipping un-feasible. An incomplete resection in the case of a highly calcified lesion can only result in an uncontrollable hemorrhage.
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spelling pubmed-72000942020-05-08 Intracranial Gorgon: Surgical Case Report of a Large Calcified Brain Arteriovenous Malformation Florian, Ioan Alexandru Popovici, Laura Timis, Teodora Larisa Florian, Ioan Stefan Berindan-Neagoe, Ioana Am J Case Rep Articles Patient: Male, 55-year-old Final Diagnosis: Right frontal arteriovenous malformation, partially calcified • multiple generalised epileptic seizures • chronic headache Symptoms: Epilectic seizure • headache Medication: — Clinical Procedure: Neurosurgical resection of the right frontal AVM Specialty: Neurosurgery OBJECTIVE: Rare disease BACKGROUND: Brain arteriovenous malformations (AVMs) are benign intracranial vascular anomalies that, under certain circumstances, may become life-threatening. Diffuse calcifications found in the vessel walls, interposing tissue or adjacent cerebral parenchyma are not uncommon, however, intense calcifications of AVMs that render them into veritable “brain stones” are scarcely reported in the literature and a genuine neurosurgical nightmare. CASE REPORT: A 55 years-old male patient lacking any personal history of serious morbidities or surgical interventions was referred to our department for several epileptic seizures and severe chronic headache in the parieto-occipital region. Upon clinical examination, the patient was aware, right-handed, and had no motor or sensory deficits. Computed tomography angiography scan showed a large densely calcified frontal AVM. The patient was subjected to neurosurgical removal of the lesion and was discharged a week later with a minor motor deficit of the left arm. CONCLUSIONS: Intracranial AVMs are a rare pathology, but a genuine microsurgical trial. The difficulty level soars when the malformed vessels become atherosclerotic and calcified, rendering bipolar ligation or permanent clipping un-feasible. An incomplete resection in the case of a highly calcified lesion can only result in an uncontrollable hemorrhage. International Scientific Literature, Inc. 2020-04-28 /pmc/articles/PMC7200094/ /pubmed/32341328 http://dx.doi.org/10.12659/AJCR.922872 Text en © Am J Case Rep, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Florian, Ioan Alexandru
Popovici, Laura
Timis, Teodora Larisa
Florian, Ioan Stefan
Berindan-Neagoe, Ioana
Intracranial Gorgon: Surgical Case Report of a Large Calcified Brain Arteriovenous Malformation
title Intracranial Gorgon: Surgical Case Report of a Large Calcified Brain Arteriovenous Malformation
title_full Intracranial Gorgon: Surgical Case Report of a Large Calcified Brain Arteriovenous Malformation
title_fullStr Intracranial Gorgon: Surgical Case Report of a Large Calcified Brain Arteriovenous Malformation
title_full_unstemmed Intracranial Gorgon: Surgical Case Report of a Large Calcified Brain Arteriovenous Malformation
title_short Intracranial Gorgon: Surgical Case Report of a Large Calcified Brain Arteriovenous Malformation
title_sort intracranial gorgon: surgical case report of a large calcified brain arteriovenous malformation
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200094/
https://www.ncbi.nlm.nih.gov/pubmed/32341328
http://dx.doi.org/10.12659/AJCR.922872
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