Journal of Korean Neurosurgical Society

  • 제45권5호
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  • Pages.300-302
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  • 2009
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Severe Symptomatic Vasospasm following Intraventricular Hemorrhage from Arteriovenous Fistula

  • Park, Beom-Seok (Departments of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Won, Yu-Sam (Departments of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Choi, Chun-Sik (Departments of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Byung-Moom (Departments of Diagnostic Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 발행 : 2009.05.28
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초록

The authors present a rare case of severe vasospasm following the rupture of arteriovenous fistula. On initial CT scan, hematoma in the corpus callosum and left inferior frontal region with surrounding cerebromalacia and all ventricles without apparent subarachnoid hemorrhage were seen. Angiograms showed arterivenous fistula but did not show cerebral vasospasm. Thirteen days after admission the neurological state of patient suddenly deteriorated and bilateral motor weaknesses developed. Following angiograms revealed severe narrowing on the supraclinoid portion of bilateral internal carotid arteries, bilateral anterior cerebral arteries and bilateral middle cerebral arteries. Transluminal angioplasty and intra-arterial papaverine infusion were performed. The patient remained stable with moderate neurologic deficits.

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참고문헌

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피인용 문헌

  1. Central fever as an early predictor of vasospasm in a child with isolated intraventricular hemorrhage vol.113, pp.2, 2009, https://doi.org/10.1016/j.clineuro.2010.09.005
  2. Vasospasm in Intracerebral Hemorrhage with Ventricular Involvement: A Prospective Pilot Transcranial Doppler Sonography Study vol.32, pp.5, 2011, https://doi.org/10.1159/000330652
  3. Vasospasm in Cerebral Inflammation vol.2014, pp.None, 2014, https://doi.org/10.1155/2014/509707
  4. Vasospasm after intraventricular hemorrhage caused by arteriovenous malformation vol.10, pp.2, 2015, https://doi.org/10.4103/1793-5482.154984
  5. Intracranial non-galenic pial arteriovenous fistula: A review of the literature vol.22, pp.5, 2009, https://doi.org/10.1177/1591019916653934
  6. In Premature Newborns Intraventricular Hemorrhage Causes Cerebral Vasospasm and Associated Neurodisability via Heme-Induced Inflammasome-Mediated Interleukin-1 Production and Nitric Oxide Depletion vol.8, pp.None, 2009, https://doi.org/10.3389/fneur.2017.00423
  7. A case of delayed cerebral vasospasm after intracerebral hemorrhage with ventricular rupture vol.41, pp.4, 2019, https://doi.org/10.3995/jstroke.10654