Abstract
We report a 29-year-old female patient who developed intracerebral hemorrhage 16 h
after endovascular embolization of a brain arteriovenous malformation with a combination
of liquid embolic agents of Onyx and n-butyl cyanoacrylate. After emergent craniectomy with evacuation of the hematoma,
the patient recovered consciousness with mild expressive aphasia. The possible etiology
of postembolization brain hemorrhage was discussed, and the literature was reviewed.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical ImagingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Pathogenesis and radiobiology of brain arteriovenous malformations: implications for risk stratification in natural history and posttreatment course.Neurosurg Focus. 2009; 26: E9
- The natural history and predictive features of hemorrhage from brain arteriovenous malformations.Stroke. 2009; 40: 100-105
- Intravascular pressure measurements in feeding pedicles of brain arteriovenous malformations.Neuroradiology. 2006; 48: 182-189
- The natural history of unruptured intracranial arteriovenous malformations.J Neurosurg. 1988; 68: 352-357
- Arteriovenous malformations of the brain: natural history in unoperated patients.J Neurol Neurosurg Psychiatry. 1986; 49: 1-10
- Morbidity of intracranial hemorrhage in patients with cerebral arteriovenous malformation.Stroke. 1998; 29: 931-934
- Population-based analysis of arteriovenous malformation treatment.J Neurosurg. 2001; 95: 633-637
- The natural history of symptomatic arteriovenous malformations of the brain: a 24-year follow-up assessment.J Neurosurg. 1990; 73: 387-391
- Current concept: arteriovenous malformations of the brain in adults.N Engl J Med. 1999; 340: 1812-1818
- Embolization of intracranial arteriovenous malformations with ethylene-vinyl alcohol copolymer (Onyx).AJNR Am J Neuroradiol. 2009; 30: 99-106
- Bleeding complications after endovascular therapy of cerebral arteriovenous malformations.AJNR Am J Neuroradiol. 2006; 27: 313-316
- Acute spontaneous hemorrhage after embolization of brain arteriovenous malformation with n-butyl cyanoacrylate.J Neuroradiol. 2001; 28: 147-165
- Emergency craniotomy for intraparenchymal massive hematoma after embolization of supratentorial arteriovenous malformations.Neurosurgery. 2003; 53: 1251-1260
- Brain AVM embolization with Onyx.AJNR Am J Neuroradiol. 2007; 28: 172-177
- Normal perfusion pressure breakthrough theory.Clin Neurosurg. 1978; 25: 651-672
- Increased brain tissue oxygenation during arteriovenous malformation resection.Neurol Med Chir (Tokyo). 1998; 38: 171-176
- Brain tissue response to CO2 in patients with arteriovenous malformation.J Cereb Blood Flow Metab. 1996; 16: 1383-1386
- Distributions of local oxygen saturation and its response to changes of mean arterial blood pressure in the cerebral cortex adjacent to arteriovenous malformations.Stroke. 1999; 30: 2623-2630
- Cerebral hyperemia after arteriovenous malformation resection is related to “breakthrough” complications but not to feeding artery pressure.Neurosurgery. 1996; 38: 1085-1093
- Determinants of staged endovascular and surgical treatment outcome of brain arteriovenous malformations.Stroke. 2005; 36: 2431-2435
- Intentionally staged operation for large and high-flow cerebral arteriovenous malformation.J Clin Neurosci. 1998; 5: 78-85
- Cerebral blood flow imaging in arteriovenous malformation complicated by normal perfusion pressure breakthrough.Surg Neurol. 2001; 56: 380-384
Article info
Publication history
Published online: November 02, 2011
Accepted:
September 14,
2011
Received:
July 9,
2011
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.