Embolización endovascular en hemorragia intraparenquimatosa temporo-occipital por fístula arteriovenosa pial: reporte de caso

Angely Palacios; Milton Yunga; Andrés Mercado; David Abril

doi:10.37711/rpcs.2023.5.1.397

Authors

Angely Palacios Universidad Católica de Cuenca, Ecuador. https://orcid.org/0000-0002-3386-3908
Milton Yunga Universidad Católica de Cuenca, Cuenca, Ecuador. https://orcid.org/0000-0002-2629-8242
Andrés Mercado Universidad Católica de Cuenca, Cuenca, Ecuador. https://orcid.org/0000-0002-2436-2490
David Abril Universidad Católica de Cuenca, Cuenca, Ecuador. https://orcid.org/0000-0001-8585-095X

DOI:

https://doi.org/10.37711/rpcs.2023.5.1.397

Keywords:

Arteriovenous fistula, Case report, Intracranial arteriovenous malformations, Therapeutic embolization

Abstract

Cerebral arteriovenous malformations are an infrequent pathology, of which fistulous malformations are the least common. Surgical clinical management is not fully defined, so analyzing the efficacy of embolization in these patients is an important scientific contribution to society. A 28-year-old male patient with headache of 10/10 on the visual analog pain scale. Imaging studies were performed and showed intraparenchymal hemorrhage; computed tomography angiography revealed a ruptured cerebral arteriovenous malformation in the temporo-occipital region dependent on the middle cerebral artery; complex endovascular embolization was performed, with favorable results in his evolution. In conclusion, embolization as a treatment for hemorrhagic temporo-occipital arteriovenous malformation is a viable alternative in patients with stage IV on the Spetzler scale.

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