• Yury Pilipenko, Anton Konovalov, Dmitry Okishev, Elena Okisheva, Shalva Eliava, and Vadim Gorozhanin.
• Federal State Autonomous Institution N. N. Burdenko National Medical Research Center Of Neurosurgery of the Ministry of Health of the Russian Federation (N.N. Burdenko NMRCN), Moscow, Russia. Electronic address: coronainfo@gmail.com.
• World Neurosurg. 2018 Nov 1; 119: 168-171.

BackgroundDevelopmental venous anomaly (DVA) or venous angioma is a common anomaly of cerebral veins that is found incidentally in the majority of cases. There are few cases of arteriovenous shunting in DVA associated with a more malignant course of the disease. Whether these DVAs with shunts are of congenital pathology or lifetime formations is unclear.Case DescriptionWe report a case of lifetime arteriovenous shunt formation in DVA that caused intracerebral hemorrhage in a child. The patient underwent 2 sequential direct surgeries: an emergency evacuation of the intracerebral hematoma and a scheduled excision of the DVA with arteriovenous shunting.ConclusionsArteriovenous shunting in DVA may develop during a lifetime and cause intracerebral hemorrhages. This case showed that localization of DVA with arteriovenous shunting in a noneloquent area enables its complete microsurgical excision with favorable functional outcomes.Copyright © 2018. Published by Elsevier Inc.

21 keywords...

hide…