Rare clinical presentation of a ruptured spinal bulbomedullary arteriovenous malformation: a case report.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Annals of Medicine and Surgery Pub Date : 2024-09-05 eCollection Date: 2024-10-01 DOI:10.1097/MS9.0000000000002529

Daniel A Vega-Moreno, Rodolfo P Molina-Martínez, Yolanda Aburto-Murrieta, Beatriz Méndez-González, Gervith Reyes-Soto, Mónica Serrano-Murillo, Ulises García-González, Bipin Chaurasia

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Abstract

Introduction and importance: Spinal arteriovenous malformations (AVMs) are a rare condition that has a high risk of bleeding and complications. The authors present the case of a spinal arteriovenous malformation in an unusual location and presentation.

Case presentation: A 67-year-old man with subarachnoid hemorrhage due to a ruptured spinal arteriovenous malformation type IVa, with associated bulbomedullary aneurysm, which was managed conservatively due to the high risk of complications and mortality.

Clinical discussion: Spinal AVMs have had different management and treatments over the years, so conservative management remains an option when arterial cannulation is complex and surgery carries a high risk of complications.

Conclusion: Due to the high risk of complications of surgery in this location, conservative treatment is an option for the management of such cases with good outcomes.

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脊髓球部动静脉畸形破裂的罕见临床表现：病例报告。

导言和重要性：脊髓动静脉畸形（AVM）是一种罕见的疾病，出血和并发症的风险很高。作者介绍了一例位置和表现均不寻常的脊髓动静脉畸形病例：一名 67 岁的男性因脊髓动静脉畸形 IVa 型破裂导致蛛网膜下腔出血，并伴有球状髓样动脉瘤，由于并发症和死亡率风险较高，患者接受了保守治疗：临床讨论：脊髓动静脉畸形多年来一直有不同的管理和治疗方法，因此当动脉插管复杂且手术并发症风险高时，保守治疗仍是一种选择：结论：由于该部位手术并发症风险高，保守治疗是治疗此类病例的一种选择，且疗效良好。

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Annals of Medicine and Surgery MEDICINE, GENERAL & INTERNAL-

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