Acute subdural hemorrhage complicating embolization of a cerebral arteriovenous malformation.
We present a case of a young adult in whom acute subdural hemorrhage developed immediately after embolization of a cerebral arteriovenous malformation with glue. Inadvertent venous outlet obstruction with glue was implicated in the production of the hemorrhage. Possible mechanisms of spread of blood to the subdural space are discussed. Awareness of the possibility of iatrogenic subdural hemorrhage is necessary before undertaking embolization procedures.
Massoud
T F
TF
Department of Radiological Sciences, University of California, Los Angeles Medical Center 90024, USA.
Duckwiler
G R
GR
Viñuela
F
F
Guglielmi
G
G
D000293:Adolescent; D002533:Cerebral Angiography; D002550:Cerebral Veins / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D004998:Ethiodized Oil / Q000008:administration & dosage; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D014014:Tissue Adhesives; D014057:Tomography, X-Ray Computed
D014014:Tissue Adhesives; D004998:Ethiodized Oil