Symptomatic de novo arteriovenous malformation appearing 17 years after the resection of two other arteriovenous malformations in childhood: Case report

Hideaki Akimoto, Kiyohide Komatsu, Yoshihiro Kubota, Duke S. Samson, Issam A. Awad, Michael L. Levy

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

OBJECTIVE AND IMPORTANCE: This report describes the first case of symptomatic de novo arteriovenous malformation (AVM) appearing ectopically after total resection of other AVMs. We discuss the growth phenomenon and the nature of AVMs. CLINICAL PRESENTATION: A 27-year-old woman with sudden headache and right-sided numbness was admitted to our hospital. Computed tomographic scans revealed a hemorrhage of the corpus callosum and the bilateral lateral ventricles. A cerebral angiogram demonstrated an AVM that was fed by the bilateral pericallosal arteries and drained into the inferior sagittal sinus. Seventeen years earlier, at the age of 10 years, the patient had undergone resection of two other AVMs. At that time, the newly presented AVM was not detected. This AVM had grown markedly and caused hemorrhage after 17 years. INTERVENTION: The AVM, which was located in the bilateral cingulate gyrus and the corpus callosum, was totally removed through a right frontal craniotomy. The patient was discharged without neurological deficits. CONCLUSION: Our findings suggest that patients who undergo complete resection of AVMs may sustain other de novo AVMs some years later. The growth of an AVM seems to be related to the patient's age at onset and the duration of the posttreatment period. We emphasize the importance of long-term follow-up in patients with cerebral AVMs treated during childhood.

Original languageEnglish (US)
Pages (from-to)228-232
Number of pages5
JournalNeurosurgery
Volume52
Issue number1
DOIs
StatePublished - Jan 1 2003

Fingerprint

Arteriovenous Malformations
Corpus Callosum
Hemorrhage
Hypesthesia
Craniotomy
Lateral Ventricles
Gyrus Cinguli
Growth
Age of Onset
Headache
Angiography
Arteries

Keywords

  • Arteriovenous malformation
  • Ectopic
  • Growth
  • Magnetic resonance imaging
  • Multiple arteriovenous malformations

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Symptomatic de novo arteriovenous malformation appearing 17 years after the resection of two other arteriovenous malformations in childhood : Case report. / Akimoto, Hideaki; Komatsu, Kiyohide; Kubota, Yoshihiro; Samson, Duke S.; Awad, Issam A.; Levy, Michael L.

In: Neurosurgery, Vol. 52, No. 1, 01.01.2003, p. 228-232.

Research output: Contribution to journalArticle

Akimoto, Hideaki ; Komatsu, Kiyohide ; Kubota, Yoshihiro ; Samson, Duke S. ; Awad, Issam A. ; Levy, Michael L. / Symptomatic de novo arteriovenous malformation appearing 17 years after the resection of two other arteriovenous malformations in childhood : Case report. In: Neurosurgery. 2003 ; Vol. 52, No. 1. pp. 228-232.
@article{dd6221f1a7fa4552af648a52233265a3,
title = "Symptomatic de novo arteriovenous malformation appearing 17 years after the resection of two other arteriovenous malformations in childhood: Case report",
abstract = "OBJECTIVE AND IMPORTANCE: This report describes the first case of symptomatic de novo arteriovenous malformation (AVM) appearing ectopically after total resection of other AVMs. We discuss the growth phenomenon and the nature of AVMs. CLINICAL PRESENTATION: A 27-year-old woman with sudden headache and right-sided numbness was admitted to our hospital. Computed tomographic scans revealed a hemorrhage of the corpus callosum and the bilateral lateral ventricles. A cerebral angiogram demonstrated an AVM that was fed by the bilateral pericallosal arteries and drained into the inferior sagittal sinus. Seventeen years earlier, at the age of 10 years, the patient had undergone resection of two other AVMs. At that time, the newly presented AVM was not detected. This AVM had grown markedly and caused hemorrhage after 17 years. INTERVENTION: The AVM, which was located in the bilateral cingulate gyrus and the corpus callosum, was totally removed through a right frontal craniotomy. The patient was discharged without neurological deficits. CONCLUSION: Our findings suggest that patients who undergo complete resection of AVMs may sustain other de novo AVMs some years later. The growth of an AVM seems to be related to the patient's age at onset and the duration of the posttreatment period. We emphasize the importance of long-term follow-up in patients with cerebral AVMs treated during childhood.",
keywords = "Arteriovenous malformation, Ectopic, Growth, Magnetic resonance imaging, Multiple arteriovenous malformations",
author = "Hideaki Akimoto and Kiyohide Komatsu and Yoshihiro Kubota and Samson, {Duke S.} and Awad, {Issam A.} and Levy, {Michael L.}",
year = "2003",
month = "1",
day = "1",
doi = "10.1097/00006123-200301000-00030",
language = "English (US)",
volume = "52",
pages = "228--232",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Symptomatic de novo arteriovenous malformation appearing 17 years after the resection of two other arteriovenous malformations in childhood

T2 - Case report

AU - Akimoto, Hideaki

AU - Komatsu, Kiyohide

AU - Kubota, Yoshihiro

AU - Samson, Duke S.

AU - Awad, Issam A.

AU - Levy, Michael L.

PY - 2003/1/1

Y1 - 2003/1/1

N2 - OBJECTIVE AND IMPORTANCE: This report describes the first case of symptomatic de novo arteriovenous malformation (AVM) appearing ectopically after total resection of other AVMs. We discuss the growth phenomenon and the nature of AVMs. CLINICAL PRESENTATION: A 27-year-old woman with sudden headache and right-sided numbness was admitted to our hospital. Computed tomographic scans revealed a hemorrhage of the corpus callosum and the bilateral lateral ventricles. A cerebral angiogram demonstrated an AVM that was fed by the bilateral pericallosal arteries and drained into the inferior sagittal sinus. Seventeen years earlier, at the age of 10 years, the patient had undergone resection of two other AVMs. At that time, the newly presented AVM was not detected. This AVM had grown markedly and caused hemorrhage after 17 years. INTERVENTION: The AVM, which was located in the bilateral cingulate gyrus and the corpus callosum, was totally removed through a right frontal craniotomy. The patient was discharged without neurological deficits. CONCLUSION: Our findings suggest that patients who undergo complete resection of AVMs may sustain other de novo AVMs some years later. The growth of an AVM seems to be related to the patient's age at onset and the duration of the posttreatment period. We emphasize the importance of long-term follow-up in patients with cerebral AVMs treated during childhood.

AB - OBJECTIVE AND IMPORTANCE: This report describes the first case of symptomatic de novo arteriovenous malformation (AVM) appearing ectopically after total resection of other AVMs. We discuss the growth phenomenon and the nature of AVMs. CLINICAL PRESENTATION: A 27-year-old woman with sudden headache and right-sided numbness was admitted to our hospital. Computed tomographic scans revealed a hemorrhage of the corpus callosum and the bilateral lateral ventricles. A cerebral angiogram demonstrated an AVM that was fed by the bilateral pericallosal arteries and drained into the inferior sagittal sinus. Seventeen years earlier, at the age of 10 years, the patient had undergone resection of two other AVMs. At that time, the newly presented AVM was not detected. This AVM had grown markedly and caused hemorrhage after 17 years. INTERVENTION: The AVM, which was located in the bilateral cingulate gyrus and the corpus callosum, was totally removed through a right frontal craniotomy. The patient was discharged without neurological deficits. CONCLUSION: Our findings suggest that patients who undergo complete resection of AVMs may sustain other de novo AVMs some years later. The growth of an AVM seems to be related to the patient's age at onset and the duration of the posttreatment period. We emphasize the importance of long-term follow-up in patients with cerebral AVMs treated during childhood.

KW - Arteriovenous malformation

KW - Ectopic

KW - Growth

KW - Magnetic resonance imaging

KW - Multiple arteriovenous malformations

UR - http://www.scopus.com/inward/record.url?scp=0037234589&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037234589&partnerID=8YFLogxK

U2 - 10.1097/00006123-200301000-00030

DO - 10.1097/00006123-200301000-00030

M3 - Article

C2 - 12493123

AN - SCOPUS:0037234589

VL - 52

SP - 228

EP - 232

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 1

ER -