Spontaneous thrombosis of the main draining vein revealing an unruptured brain arteriovenous malformation

Interv Neuroradiol. 2015 Apr;21(2):222-6. doi: 10.1177/1591019915581989. Epub 2015 May 11.

Abstract

Haemorrhage is the most frequent revealing condition of brain arteriovenous malformations (bAVMs). We report a rare case of unruptured parietal bAVM revealed by spontaneous thrombosis of the main draining vein, responsible for a focal neurological deficit. The bAVM was embolized in emergency conditions; complete regression of the neurological symptoms was observed within five days after the embolization. Potential mechanisms of such spontaneous thrombosis of the bAVM's main drainage pathway as well as an exhaustive review of the literature concerning this rare revealing condition are presented and discussed.

Keywords: Brain AVM; embolization; spontaneous; thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography, Digital Subtraction
  • Cerebral Angiography
  • Cerebral Veins / abnormalities
  • Cerebral Veins / diagnostic imaging*
  • Embolization, Therapeutic
  • Glasgow Coma Scale
  • Headache / etiology
  • Humans
  • Intracranial Arteriovenous Malformations / diagnostic imaging*
  • Intracranial Arteriovenous Malformations / therapy
  • Male
  • Methylprednisolone / therapeutic use
  • Nervous System Diseases / etiology
  • Paresis / etiology
  • Parietal Lobe / diagnostic imaging
  • Thrombosis / diagnostic imaging*
  • Thrombosis / therapy
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Methylprednisolone