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CC BY-NC-ND 4.0 · Asian J Neurosurg 2012; 7(04): 210-213
DOI: 10.4103/1793-5482.106657
CASE REPORT

Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings

Venkatesh Madhugiri
Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry
,
Arivazhagan Arimappamagan
1   Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences, Bangalore
,
Bangalore Chandramouli
2   Department of Neurosurgery, Vikram Hospital, Bangalore
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We report a rare case of a patient with a pial arteriovenous malformation (AVM) who presented in altered sensorium. He was found to have large epidural and subdural hematomas overlying a pial AVM. He underwent evacuation of these hematomas and postop computed tomography showed infarcts deep to the site of hematoma evacuation. These infarcts were postulated to be due to a steal phenomenon combined with raised intracranial pressure. The management and possible mechanisms for this rare combination are discussed.

Key-words:

Arteriovenous malformation - epidural hematoma - infarcts - steal phenomenon - subdural hematoma


Publication History

Article published online:
27 September 2022

© 2012. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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