Recurrent intracerebral hemorrhage from a cerebral arteriovenous malformation undetected by repeated noninvasive neuroimaging in a 4-year-old boy. Case report.

Jordan LC, Jallo GI, Gailloud P
J Neurosurg Pediatr. 2008 1 (4): 316-9

PMID: 18377308 · PMCID: PMC2714271 · DOI:10.3171/PED/2008/1/4/316

The authors report the case of a 4-year-old boy with a spontaneous intracerebral hemorrhage (ICH) related to an arteriovenous malformation (AVM) that was not found with good-quality magnetic resonance (MR) imaging and MR angiography. Both modalities were used serially in the acute phase and at 2 and 7 months of follow-up. Digital subtraction angiography identified the peripheral AVM when the patient experienced rehemorrhaging 1 year after his initial presentation. This case illustrates the need for a complete diagnostic evaluation including conventional angiography in cases of idiopathic ICH in children.

MeSH Terms (8)

Angiography, Digital Subtraction Cerebral Hemorrhage Child, Preschool Humans Intracranial Arteriovenous Malformations Magnetic Resonance Angiography Magnetic Resonance Imaging Male

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