Surgical Treatment of A Ruptured Intracerebral Arteriovenous Malformation In A Newborn

PEDIATRICS ◽  
1974 ◽  
Vol 53 (4) ◽  
pp. 571-572
Author(s):  
Robert A. Beatty
Keyword(s):  
Surgical Treatment ◽  
Arteriovenous Malformation ◽  
Intracranial Hemorrhage ◽  
Therapeutic Approach ◽  
Intracranial Bleeding ◽  
Medical Community ◽  
Traumatic Birth

Intracranial hemorrhage in the newborn is not common, excluding bleeding secondary to traumatic birth. It is the author's experience that the medical community generally regards intracranial bleeding in infants as hopeless and often favors a nihilistic therapeutic approach. This paper describes a newborn who appeared in extremis from a ruptured intracerebral arteriovenous malformation (AVM) which was successfully resected.

scholarly journals Fulminant Guillain–Barré syndrome developed after surgical treatment of intracranial hemorrhage due to arteriovenous malformation: a case report

2021 ◽  
Author(s):  
Hongyuan Liu ◽  
Liling Yang ◽  
Zongping Li ◽  
Gang Cheng
Keyword(s):  
Surgical Treatment ◽  
Arteriovenous Malformation ◽  
Intracranial Hemorrhage ◽  
Cerebral Hemorrhage ◽  
Axonal Neuropathy ◽  
Surgical Excision ◽  
Autoimmune Disorder ◽  
Guillain Barre Syndrome ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

Abstract Guillain–Barré syndrome (GBS) is a rare autoimmune disorder. GBS after surgical treatment of intracranial hemorrhage due to arteriovenous malformation (AVM) is even rarer. We present a 62-year-old man diagnosed with intracranial AVM and cerebral hemorrhage. He developed GBS after the operation for AVM and cerebral hemorrhage. Following surgical excision of AVM and cerebral hematoma, the patient developed generalized weakness, with subsequent quadriplegia and life-threatening dyspnea. The diagnosis was confirmed to be the acute motor–sensory axonal neuropathy subtype of GBS after cerebrospinal fluid analysis and antibody tests. The patient responded poorly to immunoglobulin and steroid therapy. His family abandoned further management and signed out of the hospital against medical advice. Despite being rare, GBS can occur after intracranial hemorrhage and surgery. Clinicians should rule out GBS when patients show no improvement or develop new neurologic

scholarly journals Effect of childhood overweight on distal metaphyseal radius fractures treated by closed reduction

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yu Liu ◽  
Chunjie Liu ◽  
Dongmei Guo ◽  
Ning Wang ◽  
Ying Zhao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Closed Reduction ◽  
Pediatric Population ◽  
Normal Weight ◽  
Medical Community ◽  
Overweight Children ◽  
Radius Fractures

Abstract Background The medical community has recognized overweight as an epidemic negatively affecting a large proportion of the pediatric population, but few studies have been performed to investigate the relationship between overweight and failure of conservative treatment for distal radius fractures (DRFs). This study was performed to investigate the effect of overweight on the outcome of conservative treatment for DRFs in children. Methods We performed a retrospective study of children with closed displaced distal metaphyseal radius fractures in our hospital from January 2015 to May 2020. Closed reduction was initially performed; if closed reduction failed, surgical treatment was performed. Patients were followed up regularly after treatment, and redisplacement was diagnosed on the basis of imaging findings. Potential risk factors for redisplacement were collected and analyzed. Results In total, 142 children were included in this study. The final reduction procedure failed in 21 patients, all of whom finally underwent surgical treatment. The incidences of failed final reduction and fair reduction were significantly higher in the overweight/obesity group than in the normal-weight group (P = 0.046 and P = 0.041, respectively). During follow-up, 32 (26.4%) patients developed redisplacement after closed reduction and cast immobilization. The three risk factors associated with the incidence of redisplacement were overweight/obesity [odds ratio (OR), 2.149; 95% confidence interval (CI), 1.320–3.498], an associated ulnar fracture (OR, 2.127; 95% CI, 1.169–3.870), and a three-point index of ≥ 0.40 (OR, 3.272; 95% CI, 1.975–5.421). Conclusions Overweight increases the risk of reduction failure and decreases the reduction effect. Overweight children were two times more likely to develop redisplacement than normal-weight children in the present study. Thus, overweight children may benefit from stricter clinical follow-up and perhaps a lower threshold for surgical intervention.

Combined Embolization and Surgical Treatment of Arteriovenous Malformation of the Orbit

1993 ◽  
Vol 116 (1) ◽  
pp. 17-25 ◽  
Author(s):  
Robert A. Goldberg ◽  
George H. Garcia ◽  
Gary R. Duckwiler
Keyword(s):  
Surgical Treatment ◽  
Arteriovenous Malformation

scholarly journals Brain Arteriovenous Malformation Recurrence After Apparent Microsurgical Cure

Stroke ◽  
2020 ◽  
Vol 51 (10) ◽  
pp. 2990-2996
Author(s):  
Alexander Copelan ◽  
Gerald Drocton ◽  
M. Travis Caton ◽  
Eric R. Smith ◽  
Daniel L. Cooke ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Recurrence Rate ◽  
Surgical Resection ◽  
Intracranial Hemorrhage ◽  
Cox Regression ◽  
Initial Presentation ◽  
High Rate ◽  
Brain Arteriovenous Malformation ◽  
Increased Risk

Background and Purpose: Do children have an increased risk for brain arteriovenous malformation (AVM) recurrence compared with adults and does this risk vary depending on initial presentation with AVM rupture? Methods: We retrospectively studied 115 patients initially presenting with brain AVM under age 25 years who underwent complete surgical resection of the AVM as documented by digital subtraction angiography (DSA) and had delayed follow-up DSA to evaluate for AVM recurrence after apparent initial cure. Results: The mean time from baseline DSA to follow-up DSA was 2.3 years, ranging from 0 to 15 years. Twelve patients (10.4% of the 115 patient cohort and 16.7% of 72 patients with hemorrhage at initial presentation) demonstrated AVM recurrence on follow-up DSA. All patients with recurrence initially presented with intracranial hemorrhage, and intracranial hemorrhage was a significant predictor of recurrence (log rank P =0.037). Among patients with initial hemorrhage, the 5-year recurrence rate was 17.8% (95% CI, 8.3%–35.7%). All recurrences occurred in patients who were children at the time of their initial presentation; the oldest was 15 years of age at the time of initial AVM surgery. The 5-year recurrence rate for children (0–18 years of age) with an initial presentation of hemorrhage was 21.4% (95% CI, 10.1%–41.9%). Using Cox regression, we found the risk of AVM recurrence decreased by 14% per each year increase in age at the time of initial surgical resection (hazard ratio=0.86 [95% CI, 0.75–0.99]; P =0.031). Conclusions: There is a high rate of recurrence of apparently cured brain AVMs in children who initially present with AVM rupture. Imaging follow-up is warranted to prevent re-rupture.

Sign in / Sign up

Export Citation Format

Share Document