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Romanian Neurosurgery

The Journal of Romanian Society of Neurosurgery

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Spontaneous intracranial hemorrhage in children – ruptured lobar arteriovenous malformations: report of two cases

A. Tascu / C. Pascal / S.M. Florea / St.M. Iencean
Published Online: 2015-03-13 | DOI: https://doi.org/10.1515/romneu-2015-0010


Brain arteriovenous malformations (AVMs) are lesions thought to be primarily congenital in origin, consisting of fistulous connections of abnormal arteries and veins, without normal intervening capillary beds and no cerebral parenchyma between vessels. In the pediatric population, AVMs represent the most common cause of spontaneous intracranial hemorrhage (ICH), with a high recurrent bleeding risk. The aim of this paper is to report 2 cases of ruptured lobar AVMs in children, presenting with spontaneous ICH. Due to the patients’ neurological status, the only imaging examination performed preoperatively was a CT scan, showing intraparenchymal hemorrhage. Thus, there was no MRI/angiographic examination to prove the existence of a brain AVM prior to the surgical interventions. Also, the cerebral angiography performed after the surgery showed, in both patients, no signs of residual vascular malformations. Therefore, the diagnosis of AVM was certified by macroscopic and microscopic pathological findings, with no brain imaging suggestive of a vascular malformation.

Keywords: brain AVM; pediatric; intracranial hemorrhage


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About the article

Published Online: 2015-03-13

Published in Print: 2015-03-01

Citation Information: Romanian Neurosurgery, ISSN (Online) 2344-4959, ISSN (Print) 1220-8841, DOI: https://doi.org/10.1515/romneu-2015-0010.

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© 2015. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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