Abnormalities of the hallux skin and nail in the course of very rare arteriovenous malformation

Vascular Anomalies ◽

Vascular Disorders ◽

Atypical Symptoms ◽

Arterial Catheterization ◽

Pelvic Area ◽

Abstract Arteriovenous malformations (AVMs) are usually found in the pelvic area and the brain. These vascular anomalies are rarely reported in the toes. AVMs in the toes may be asymptomatic, but can also cause atypical symptoms. Congenital AVMs can expand as patients age and manifest in adulthood. They may be provoked by injury. Acquired AVM might be caused by iatrogenic factors, venous or arterial catheterization, percutaneous invasive vascular procedures, surgery, or degenerative vascular disorders. An AVM can damage surrounding tissues and can cause destruction of skin, nails and bones. The course of the disease is often unpredictable and diagnosis is usually delayed as a result.

Arteriovenous malformations in the posterior fossa

Journal of Neurosurgery ◽

10.3171/jns.1977.47.1.0050 ◽

1977 ◽

Vol 47 (1) ◽

pp. 50-56 ◽

Cited By ~ 47

Author(s):

Hiroshi Matsumura ◽

Yasumasa Makita ◽

Kuniyuki Someda ◽

Akinori Kondo

Keyword(s):

Brain Stem ◽

Posterior Fossa ◽

Cerebellopontine Angle ◽

Anterior Part ◽

Content Type ◽

The Brain ◽

Fine Print

✓ We have operated on 12 of 14 cases of arteriovenous malformation (AVM) in the posterior fossa since 1968, with one death. The lesions were in the cerebellum in 10 cases (three anteromedial, one central, three lateral, and three posteromedial), and in the cerebellopontine angle in two; in two cases the lesions were directly related to the brain stem. The AVM's in the anterior part of the cerebellum were operated on through a transtentorial occipital approach.

Successful treatment of bilateral multiple pulmonary arteriovenous malformations in a patient with brain abscess and severe hypoxemia using a combination of transcatheter embolotherapy and surgical resection: a case report

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01644-2 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Takahiro Ochi ◽

Masako Chiyo ◽

Takamasa Ito ◽

Hideharu Furumoto ◽

Toshihiko Sugiura ◽

...

Keyword(s):

Brain Abscess ◽

Surgical Resection ◽

Pulmonary Arteriovenous Malformation ◽

Positive Pressure ◽

Pulmonary Arteriovenous Malformations ◽

Severe Hypoxemia ◽

History Of ◽

Abstract Background A pulmonary arteriovenous malformation is an abnormal dilated blood vessel that makes direct communication between a pulmonary artery and pulmonary vein and can be associated with hypoxemia or neurological complications, including brain abscess and cerebral infarction. Treatment of pulmonary arteriovenous malformation includes surgical resection and transcatheter embolotherapy, however the adaptation of therapies should be considered when a patient is in bad condition. Case presentation A 51-year-old man was admitted after developing fever, consciousness disorder, and hypoxemia. Magnetic resonance imaging of the brain showed a brain abscess. Bilateral pulmonary arteriovenous malformations were found by contrast computed tomography. Because of a family history of pulmonary arteriovenous malformation, a history of epistaxis, and the existence of oral mucosa telangiectasia, he was diagnosed with hereditary hemorrhagic telangiectasia and brain abscess caused by intrapulmonary right-to-left shunt. The brain abscess improved with antibiotic treatment; however, the administration of oxygen did not ameliorate his hypoxemia. His hypoxemia was exacerbated by positive pressure ventilation. Considering his systemic and respiratory condition, we considered surgery to involve a high degree of risk. After controlling his brain abscess and pneumonia, transcatheter embolotherapy was performed. This improved his systemic condition, enabling surgical treatment. Conclusions This middle-aged patient suffering from brain abscess and severe hypoxemia with multiple pulmonary arteriovenous malformations was successfully treated by a combination of transcatheter embolotherapy and surgery. The adaptation and combination of therapies, as well as the sequence of treatments, should be considered depending on the patient status and lesions.

Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness

Cerebrovascular Neurosurgery ◽

10.1093/med/9780190887728.003.0023 ◽

2019 ◽

pp. 215-224

Author(s):

Adeel Ilyas ◽

Dale Ding ◽

Matthew J. Shepard ◽

Jason P. Sheehan

Keyword(s):

Inverse Relationship ◽

Medical Condition ◽

Noninvasive Treatment ◽

Neurological Morbidity ◽

Treatment Volume ◽

Work Up ◽

The Brain ◽

Surgical Extirpation

Abstract: Cerebral arteriovenous malformations are often located in regions of the brain that are not surgically accessible, or they are found in patients who are not candidates for microsurgery. If the expected neurological morbidity of surgical extirpation is unacceptably high, or if the patient’s medical condition presents an unacceptable risk for surgery, either conservative management or radiosurgery should be offered. Stereotactic radiosurgery provides a noninvasive treatment of such lesions and should be considered in the discussion of management of all arteriovenous malformations. Customization of treatment strategy to each arteriovenous malformation is necessary, as obliteration rates and complications share an inverse relationship depending on treatment volume and radiation dose. This chapter presents the key considerations in the work-up and radiosurgical management of patients with arteriovenous malformations.

Familial occurrence of arteriovenous malformation of the brain

Journal of Neurosurgery ◽

10.3171/jns.1991.74.4.0585 ◽

1991 ◽

Vol 74 (4) ◽

pp. 585-589 ◽

Cited By ~ 35

Author(s):

Kazutoshi Yokoyama ◽

Yoshitaka Asano ◽

Takatsugu Murakawa ◽

Mitsuaki Takada ◽

Takashi Ando ◽

...

Keyword(s):

Genetic Factors ◽

High Rate ◽

Familial Incidence ◽

Brain Vessels ◽

Content Type ◽

Familial Cases ◽

The Brain ◽

Fine Print

✓ Brain arteriovenous malformations are considered to originate from a congenital maldevelopment of the brain vessels. Although there have been occasional reports suggesting a familial incidence of these lesions, data for only 10 families have been accumulated in the literature. The authors report on six such cases in three families. This high rate of occurrence of familial cases suggests an involvement of genetic factors.

Galvos smegenų arterioveninės malformacijos

Lietuvos chirurgija ◽

10.15388/lietchirur.2009.3.2133 ◽

2009 ◽

Vol 7 (3-4) ◽

pp. 0-0

Author(s):

Irena Bičkutė ◽

Mindaugas Avižonis

Keyword(s):

Vascular Disease ◽

Key Words ◽

Regional Hospital ◽

Capillary Network ◽

Physiological Changes ◽

Brain Avm ◽

Life Threatening ◽

Irena Bičkutė1, Mindaugas Avižonis21 Švenčionių rajono ligoninė, Partizanų g. 4, LT-18126 Švenčionys2 Mykolo Marcinkevičiaus ligoninė, Kauno g. 7/2, LT-03215 VilniusEl paštas: [email protected] Galvos smegenų arterioveninė malformacija (AVM) – įgimta smegenų patologija, kuriai būdingos patologinės arterijų ir venų jungtys, kuriomis arterinis kraujas patenka į smegenų venas, aplenkdamas normalų kapiliarų tinklą. Ši patologija reta, tačiau sukelia daug anatominių ir fiziologinių pokyčių, kelia pavojų gyvybei. Straipsnyje trumpai aprašoma AVM paplitimas, kilmė, patologija, klinika, diagnostika ir gydymas. Reikšminiai žodžiai: galvos smegenų arterioveninė malformacija, etiologija, epidemiologija, klinika, diagnostika, gydymas. Arteriovenous malformations of the brain Irena Bičkutė1, Mindaugas Avižonis21 The Švenčioniai Regional Hospital, Partizanų g. 4, LT-18126 Švenčionys, Lithuania2 The Mykolas Marcinkevičius Hospital, Kauno str. 7/2, LT-03215 Vilnius, LithuaniaE-mail: [email protected] Arteriovenous malformation (AVM) of the brain is a congenital vascular disease and has three morphologic components: the dysplastic vascular nidus, the feeding arteries, and the draining veins. The underlying lesion appears to represent a perpetuation of primitive arteriovenous communications which normally should be replaced by an intervening capillary network. AVM is potentially life-threatening and causes many anatomical and physiological changes. This article contains a description of epidemiology, etiology, pathology, clinic, diagnostics and treatment of brain AVM. Key words: arteriovenous malformation of the brain, etiology, epidemiology, clinic, diagnostics, treatment

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

The Computerized Tomographic Appearance of Angiographically Occult Arteriovenous Malformations of the Brain

10.1017/s0317167100042761 ◽

1981 ◽

Vol 8 (1) ◽

pp. 7-13 ◽

Cited By ~ 19

Author(s):

Richard Leblanc ◽

Roméo Ethier

Keyword(s):

Intracerebral Hemorrhage ◽

Ct Scan ◽

Lateral Ventricle ◽

High Density ◽

Computed Tomographic ◽

Ct Examination ◽

Vascular Enhancement ◽

SUMMARYEight patients with a histologically proven angiographically occult arteriovenous malformation of the brain had plain and infused computed tomographic (CT) examinations. In five cases angiography revealed a hypovascular mass and in three cases the angiogram was normal. On CT examination a high density lesion (six cases) and ventricular asymmetry (five cases) were demonstrated. In three patients presenting with intracerebral hemorrhage, the high density appearance and ventricular compression were accounted for by the presence of hematoma. In three of five seizure patients the high density lesion was associated with calcification while ipsilateral (one case) and contralateral (one case) enlargement of the lateral ventricle was seen. In five of the eight cases the vascular nature of the lesion was suggested by vascular enhancement of the infused CT scan. Glioma was a common misdiagnosis.

Successful treatment of bilateral multiple pulmonary arteriovenous malformations in a patient with brain abscess and severe hypoxemia using a combination of transcatheter embolotherapy and surgical resection: a case report

10.21203/rs.3.rs-133498/v1 ◽

2020 ◽

Author(s):

Takahiro Ochi ◽

Masako Chiyo ◽

Takamasa Ito ◽

Hideharu Furumoto ◽

Toshihiko Sugiura ◽

...

Keyword(s):

Brain Abscess ◽

Surgical Resection ◽

Pulmonary Arteriovenous Malformation ◽

Positive Pressure ◽

Pulmonary Arteriovenous Malformations ◽

Severe Hypoxemia ◽

History Of ◽

Abstract Background: A pulmonary arteriovenous malformation is an abnormal dilated blood vessel that makes direct communication between a pulmonary artery and pulmonary vein and can be associated with hypoxemia or neurological complications, including brain abscess and cerebral infarction. Treatment of pulmonary arteriovenous malformation includes surgical resection and transcatheter embolotherapy, however the adaptation of therapies should be considered when a patient is in bad condition.Case presentation: A 51-year-old man was admitted after developing fever, consciousness disorder, and hypoxemia. Magnetic resonance imaging of the brain showed a brain abscess. Bilateral pulmonary arteriovenous malformations were found by contrast computed tomography. Because of a family history of PAVM, a history of epistaxis, and the existence of oral mucosa telangiectasia, he was diagnosed with hereditary hemorrhagic telangiectasia and brain abscess caused by right-to-left shunt. The brain abscess improved with antibiotic treatment; however, the administration of oxygen did not ameliorate his hypoxemia. His hypoxemia was exacerbated by positive pressure ventilation. Considering his systemic and respiratory condition, we considered surgery to involve a high degree of risk. After controlling his brain abscess and pneumonia, transcatheter embolotherapy was performed. This improved his systemic condition, enabling surgical treatment.Conclusions: This middle-aged patient suffering from brain abscess and severe hypoxemia with multiple pulmonary arteriovenous malformations was successfully treated by a combination of transcatheter embolotherapy and surgery. The adaptation and combination of therapies, as well as the sequence of treatments, should be considered depending on the patient status and lesions.

Advances and Innovations in Brain Arteriovenous Malformation Surgery

Neurosurgery ◽

10.1227/neu.0000000000000230 ◽

2014 ◽

Vol 74 (suppl_1) ◽

pp. S60-S73 ◽

Cited By ~ 33

Author(s):

Bernard R. Bendok ◽

Najib E. El Tecle ◽

Tarek Y. El Ahmadieh ◽

Antoun Koht ◽

Thomas A. Gallagher ◽

...

Keyword(s):

Surgical Treatment ◽

Surgical Technique ◽

Brain Arteriovenous Malformation ◽

Endovascular Techniques ◽

Initial Description ◽

The 19Th Century ◽

The Brain ◽

Quantitative Assessments

Abstract Arteriovenous malformations (AVMs) of the brain are very complex and intriguing pathologies. Since their initial description by Luschka and Virchow in the middle of the 19th century, multiple advances and innovations have revolutionized their management and surgical treatment. Here, we review the historical landmarks in the surgical treatment of AVMs and then illustrate the most recent and futuristic technologies aiming to improve outcomes in AVM surgeries. In particular, we examine potential advances in patient selection, imaging, surgical technique, neuroanesthesia, and postoperative neuro-rehabilitation and quantitative assessments. Finally, we illustrate how concurrent advances in radiosurgery and endovascular techniques might present new opportunities to treat AVMs more safely from a surgical perspective.

Surgical removal of arteriovenous malformations from the brain stem and cerebellopontine angle

Journal of Neurosurgery ◽

10.3171/jns.1975.43.6.0661 ◽

1975 ◽

Vol 43 (6) ◽

pp. 661-670 ◽

Cited By ~ 58

Author(s):

Charles G. Drake

Keyword(s):

Brain Stem ◽

Cerebellopontine Angle ◽

Neurological Deficits ◽

Surgical Removal ◽

Surgical Experience ◽

Content Type ◽

The Brain ◽

Fine Print

✓ The author reports his surgical experience with five cases of arteriovenous malformation of the brain stem and cerebellopontine angle causing multiple hemorrhages and severe neurological deficits. Surgical removal of the lesions had good results in four cases; there was one death.

Comprehensive Management of Arteriovenous Malformations of the Brain and Spine

10.1017/cbo9781139523943 ◽

2014 ◽

Cited By ~ 4

Keyword(s):

Comprehensive Management ◽