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Spontaneous thrombosis of a cerebral arteriovenous malformation

机译:脑动静脉畸形的自发血栓形成

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Sir, Spontaneous thrombosis of cerebral arteriovenous malformations (AVM) is exceedingly rare and only 29 such cases have been reported in the literature. We report one such case. A 25-year-old female presented with headache, vomiting and generalized tonic-clonic seizures. She was drowsy but arousable and confused, and had no obvious motor or sensory deficits. Computed tomography (CT) of brain revealed a right frontal lobe hematoma with surrounding edema. [Figure 1a] She was managed conservatively and was referred to our institute after 1 week. CT angiogram (CTA) [Figure 1b-d] revealed a right frontal arteriovenous malformation (AVM) with a compact nidus supplied by an enlarged and tortuous frontopolar branch of the right anterior cerebral artery (ACA).
机译:主席先生,脑动静脉畸形(AVM)的自发性血栓形成极为罕见,文献中仅报道了29例这种情况。我们报告了一种这样的情况。一名25岁的女性出现头痛,呕吐和全身性强直阵挛性癫痫发作。她昏昏欲睡,但可引起不适和困惑,并且没有明显的运动或感觉缺陷。脑部计算机断层扫描(CT)显示右额叶血肿伴周围水肿。 [图1a]她接受了保守治疗,1周后被转介到我们的研究所。 CT血管造影(CTA)[图1b-d]显示右额叶动静脉畸形(AVM),由右前脑动脉(ACA)的扩大和曲折的前极分支提供的紧凑的病灶。

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