Clinical Neurology and Neuroscience
Volume 3, Issue 1, March 2019, Pages: 6-10
Received: Feb. 25, 2019;
Accepted: Apr. 8, 2019;
Published: May 15, 2019
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Veranis Sotiri, Neurosurgical Department, 251 General Air Force and Reserve Hospital, Athens, Greece
Papageorgiou Demetrios, Neurosurgical Department, 251 General Air Force and Reserve Hospital, Athens, Greece
Mpazinas Theodoros, Neurointernvantional Unit, 251 General Air Force and Reserve Hospital, Athens, Greece
Lagios Konstantinos, Neurointernvantional Unit, 251 General Air Force and Reserve Hospital, Athens, Greece
Obstructive hydrocephalus is a rare complication of brain AVM’s. It usually diagnosed because of posterior fossa AVM’s. This article is about a case of a 40-year-old female patient suffering from a right fronto-parietal unruptured grade IV AVM located in the central sulcus who developed obstructive hydrocephalus and worsening of left sided weakness and spasticity. The AVM has been embolized twice in the past and no further treatment was offered because of the adjacent motor cortex and concerns of permanent neurological damage. Patient was treated with navigated ventricular-peritoneal shunt with a programmable valve. Interestingly there was an improvement of spasticity and weakness.
Hydrocephalus and Spasticity in Motor Area AVM, a Case Report, Clinical Neurology and Neuroscience.
Vol. 3, No. 1,
2019, pp. 6-10.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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Furkan Diren, Serra Sencer and Tayfun Hakan The Open Neuroimaging Journal, 2018, 12, 10-15 Case Report of an Obstructive Hydrocephalus Caused by an Unruptured Mesencephalic Arteriovenous Malformation in a Boy and
a Review of Literature The Open Neuroimaging Journal, 2018, 12, 10-15.
Lin F, Wu J, Zhao B, Tong X, Jin Z, Cao Y, Wang S Preoperative Functional Findings and Surgical Outcomes in Patients with Motor Cortical Arteriovenous Malformation. World Neurosurg 2016 Jan; 85:273-81. doi: 10.1016/j.wneu.2015.10.002. Epub 2015 Oct 13.
Paulsen RD, et al. Embolization of rolandic cortex arteriovenous malformations. Neurosurgery. 1999 Mar;44(3):479-84; discussion 484-6.
Tucker A, et al. Endoscopic third ventriculostomy for hydrocephalus due to unruptured pineal AVM: case report and review of the literature J Neurol Surg A Cent Eur Neurosurg. 2013.
Rossitti S. Pathophysiology of increased cerebrospinal fluid pressure associated to brain arteriovenous malformations: The hydraulic hypothesis Surg Neurol Int. 2013.
Hoya K, Asai A, Sasaki T, Nagata K, Kimura K, Kirino T Expression of myosin heavy chain isoforms by smooth muscle cells in cerebral arteriovenous malformations Acta Neuropathol 2003 May; 105(5):455-61. Epub 2003 Jan 28.
Pandyan AD, Johnson GR, Price CI, Curless RH, Barnes MP, Rodgers H A review of the properties and limitations of the Ashworth and modified Ashworth Scales as measures of spasticity Clin Rehabil 1999 Oct;13(5):373-83.
Hermnann EJ, Polemikos M, Heissler HE, Krauss JK Shunt Surgery in Idiopathic Intracranial Hypertension Aided by Electromagnetic Navigation Stereotact Funct Neurosurg 2017;95(1):26-33. doi: 10.1159/000453277. Epub 2017 Jan 14.
Bembich S, Cont G, Bua J, Paviotti G, Demarini. S Cerebral Hemodynamics During Neonatal Cerebrospinal Fluid Removal Pediatric Neurol 2019 Jan 8. pii: S0887-8994(18)31063-4. doi: 10.1016/j.pediatrneurol.2019.01.005. [Epub ahead of print].
Li M, Wang H, Ouyang Y, Yin M, Yin X Int J Surg Efficacy and safety of programmable shunt valves for hydrocephalus: A meta-analysis. 2017 Aug; 44:139-146. doi: 10.1016/j.ijsu.2017.06.078. Epub 2017 Jun 22.
Charles CHAMPEAUX, Céline BOTELLA, Etienne LEFEVRE, Bertrand DEVAUX Obstructive Hydrocephalus Caused by an Unruptured Arteriovenous Malformation Successfully Treated by Endoscopic Third Ventriculostomy After Shunt Dysfunction Turk Neurosurg 28(3):500-504, 2018.
Mascaros V, Eymann R, Marco J, Kiefer M The importance of hydrostatic valves in the treatment of adult chronic hydrocephalus Neurologia 2001 May;16(5):204-13.
Tsuji A, Nozaki K A, Prospective and Retrospective Study of Cerebral AVM Treatment Strategies 1990-2014. Acta Neurochir Suppl 2016; 123:135-9 doi: 10.1007/978-3-319-29887-0_19.
Müller A, Mould WA, Freeman WD, McBee N, Lane K, Dlugash R, Thompson R, Nekoovaght-Tak S, Madan V, Ali H, Stadnik A, Awad I, Hanley D, Ziai WC; CLEAR investigators The Incidence of Catheter Tract Hemorrhage and Catheter Placement Accuracy in the CLEAR III Trial Neurocrit Care. 2018 Aug; 29(1):23-32. doi: 10.1007/s12028-017-0492-6
Khan NR, DeCuypere M, Vaughn BN, Klimo P, Image Guidance for Ventricular Shunt Surgery: An Analysis of Ventricular Size and Proximal Revision Rates Neurosurgery. 2019 Mar 1; 84(3):624-635. doi: 10.1093/neuros/nyy074
Moftakhar P, Hauptman JS, Malkasian D, Martin NA Cerebral arteriovenous malformations. Part 2: physiology Neurosurg Focus. 2009 May; 26(5): E11. doi: 10.3171/2009.2. FOCUS09317