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CC BY-NC-ND 4.0 · Asian J Neurosurg 2015; 10(02): 114-116
DOI: 10.4103/1793-5482.154984
CASE REPORT

Vasospasm after intraventricular hemorrhage caused by arteriovenous malformation

Wei-Lung Tseng
Department of Surgery, Division of Neurosurgery, National Taiwan University Hospital
,
Yi-Hsin Tsai
1   Institute of Biomedical Engineering, National Taiwan University, Taipei
2   Department of Surgery, Division of Neurosurgery, Far Eastern Memorial Hospital, New Taipei City
3   Department of Surgery, St. Joseph's Hospital, Huwei Township, Yunlin County
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Intraventricular hemorrhage (IVH) induced vasospasm is rare in clinical practice. We report a case with vasospasm 10 days after IVH due to thalamic bleeding from an arteriovenous malformation. The vasospasm was so severe that transarterial embolization failed. Follow-up angiography could not reveal the vascular lesion and spontaneous thrombosis was considered. The discussion includes literature review and possible mechanism of such phenomenon. IVH-related vasospasm is rare but should always be kept in mind. Early detection with proper treatment provides better clinical outcome in such cases.

Key-words:

Arteriovenous malformation - intraventricular hemorrhage - vasospasm


Publication History

Article published online:
22 September 2022

© 2015. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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