Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Cervicomedullary Junction AVM Presenting Recurrent Intraventricular Hemorrhage - A Case Report -

재발성 뇌실내출혈을 일으킨 경연수접합부 동정맥기형 - 증례보고 -

  • Lee, Sang Weon (Department of Neurosurgery, Pusan National University, School of Medicine) ;
  • Choi, Chang Hwa (Department of Neurosurgery, Pusan National University, School of Medicine) ;
  • Cha, Seung Heon (Department of Neurosurgery, Pusan National University, School of Medicine) ;
  • Park, Dong June (Department of Neurosurgery, Pusan National University, School of Medicine) ;
  • Song, Geun Sung (Department of Neurosurgery, Pusan National University, School of Medicine) ;
  • Lee, Young Woo (Department of Neurosurgery, Pusan National University, School of Medicine)
  • 이상원 (부산대학교 의과대학 신경외과학교실) ;
  • 최창화 (부산대학교 의과대학 신경외과학교실) ;
  • 차승헌 (부산대학교 의과대학 신경외과학교실) ;
  • 박동준 (부산대학교 의과대학 신경외과학교실) ;
  • 송근성 (부산대학교 의과대학 신경외과학교실) ;
  • 이영우 (부산대학교 의과대학 신경외과학교실)
  • Received : 2000.07.05
  • Accepted : 2001.04.18
  • Published : 2001.06.28
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Abstract

Cervicomedullary junction arteriovenous malformation(AVM) is extremely rare. The authors present a case of a cervicomedullary junction AVM in a 31-year-old woman presenting with recurrent intraventricular hemorrhage (IVH). Magnetic resonance imaging revealed the AVM(of a size of approximately $2{\times}2.5{\times}4cm$) extending from a lower medulla to C2-3 level. Vertebral angiography demonstrated a tightly coiled vascular mass with multiple feeders (radiculomedullary arteries) and irregular-shaped aneurysm at distal part of feeder originating at right C-1 level. The patient underwent superselective embolization of upper nidus and the aneurysm. The pertinent literature is reviewed, and diagnostic and therapeutic implications are discussed.

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