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首页> 外文期刊>Neurosurgery >Symptomatic de novo arteriovenous malformation appearing 17 years after the resection of two other arteriovenous malformations in childhood: case report.
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Symptomatic de novo arteriovenous malformation appearing 17 years after the resection of two other arteriovenous malformations in childhood: case report.

机译：儿童期其他两种动静脉畸形切除术后17年出现症状性从动静脉畸形：病例报告。

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OBJECTIVE AND IMPORTANCE: This report describes the first case of symptomatic de novo arteriovenous malformation (AVM) appearing ectopically after total resection of other AVMs. We discuss the growth phenomenon and the nature of AVMs. CLINICAL PRESENTATION: A 27-year-old woman with sudden headache and right-sided numbness was admitted to our hospital. Computed tomographic scans revealed a hemorrhage of the corpus callosum and the bilateral lateral ventricles. A cerebral angiogram demonstrated an AVM that was fed by the bilateral pericallosal arteries and drained into the inferior sagittal sinus. Seventeen years earlier, at the age of 10 years, the patient had undergone resection of two other AVMs. At that time, the newly presented AVM was not detected. This AVM had grown markedly and caused hemorrhage after 17 years. INTERVENTION: The AVM, which was located in the bilateral cingulate gyrus and the corpus callosum, was totally removed through a right frontal craniotomy. The patient was discharged without neurological deficits. CONCLUSION: Our findings suggest that patients who undergo complete resection of AVMs may sustain other de novo AVMs some years later. The growth of an AVM seems to be related to the patient's age at onset and the duration of the posttreatment period. We emphasize the importance of long-term follow-up in patients with cerebral AVMs treated during childhood.
机译：目的和重要性：本报告介绍了首例有症状的动静脉畸形（AVM）在完全切除其他AVM后异位出现的情况。我们讨论了AVM的增长现象和性质。临床表现：一名27岁的妇女，突然头痛且右侧麻木，入院。计算机断层扫描显示revealed体和双侧脑室有出血。脑血管造影显示AVM由双侧腓总动脉供血并排入下矢状窦。十七年前，十岁时，该患者接受了另外两个AVM的切除。当时，未检测到新显示的AVM。 17年后，该AVM明显生长并引起出血。干预：位于双侧扣带回和and体的AVM通过右额额开颅手术完全切除。该患者出院无神经功能缺损。结论：我们的发现表明，完全切除AVM的患者可能会在数年后接受其他从头AVM。 AVM的生长似乎与患者的发病年龄和治疗后持续时间有关。我们强调对儿童期接受治疗的脑AVM患者进行长期随访的重要性。

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