Intracranial Arteriovenous Malformation

A 28-year-old man with a childhood history of spontaneous intracranial hemorrhage presented with seizures and loss of consciousness. Ophthalmoscopic examination revealed a retinal arteriovenous malformation in the right eye; the left eye was normal. A 28-year-old man with a childhood history of spon...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 372; no. 3; p. e4
Main Authors Rodriguez, Amadeo R, Larrazabal, Ramiro
Format Journal Article
LanguageEnglish
Published Boston Massachusetts Medical Society 15.01.2015
Subjects
Case reports
Children
Hemorrhage
Nose
Retina
Seizures
Subacute care
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Summary:A 28-year-old man with a childhood history of spontaneous intracranial hemorrhage presented with seizures and loss of consciousness. Ophthalmoscopic examination revealed a retinal arteriovenous malformation in the right eye; the left eye was normal. A 28-year-old man with a childhood history of spontaneous intracranial hemorrhage presented with a new onset of seizures and loss of consciousness. At the age of 10 years, he had undergone partial resection of a right-sided intracranial arteriovenous malformation, which resulted in left hemiplegia. He was completely blind in the right eye, and visual acuity in the left eye was 20/20 with a temporal hemianopic field defect. Computed tomography without contrast material revealed a new acute intraparenchymal hemorrhage (Panel A, arrow) adjacent to an area of encephalomalacia (Panel A, arrowhead) on the right. Angiography showed a residual arteriovenous malformation (Panel . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMicm1313525