CASE REPORT

A Young Male with Spontaneous Ruptured Cerebral Arteriovenous Malformation (Case Report)

Vitorino Modesto Santos , Leandro Pretto Flores, Isabella Augusta Barros, Priscilla Souza Farias, Carolina Paula Lamounier, Renata Athayde Casasanta

Vitorino Modesto Santos
Catholic University and Armed Forces Hospital, Brasília-DF, Brazil. Email: vitorinomodesto@gmail.com

Leandro Pretto Flores
Armed Forces Hospital, Brasília-DF, Brazil

Isabella Augusta Barros
Armed Forces Hospital, Brasília-DF, Brazil

Priscilla Souza Farias
Armed Forces Hospital

Carolina Paula Lamounier
Armed Forces Hospital

Renata Athayde Casasanta
Armed Forces Hospital
Online First: April 30, 2016 | Cite this Article
Santos, V., Flores, L., Barros, I., Farias, P., Lamounier, C., Casasanta, R. 2016. A Young Male with Spontaneous Ruptured Cerebral Arteriovenous Malformation (Case Report). Bali Medical Journal 5(1): 53-55. DOI:10.15562/bmj.v5i1.139


Background: Cerebral arteriovenous malformation (AVM) is considered a congenital condition characterized by arterial-venous connections in the absence of intermediate capillaries with circulatory and functional changes, inclusive on the cerebrospinal fluid (CSF) dynamics. Case: A previously healthy young man with abrupt onset of intense headache followed by incoercible vomiting and generalized tonic-clonic seizures. On admission, he was in Glasgow scale IV with respiratory gasping, signs of decerebration and anisocoric mydriasis, and right paresis. Computed tomography showed left intraparenchymal hematoma and intraventricular blood. The abnormal vessels and blood clots were removed by neurosurgery. In early postoperative phase a large cerebrospinal fluid leak developed, and was aspirated and further controlled. The patient had respiratory complications, including pulmonary infection by Pseudomonas. Conclusions: After longstanding hospitalization, he was referred to other medical institution and home care. 

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