Ventricular arteriovenous malformation bleeding: a rare cause of headache in children. Case report.
Headache as a chief complaint is rare in the paediatric emergency room. Actually, very seldom cases secondary to life threatening conditions as non-traumatic subarachnoid haemorrhage have been reported. A child with severe headache and nuchal rigidity and no other abnormalities on the physical examination is reported. Magnetic resonance angiography and cerebral angiography disclosed a ventricular arteriovenous malformation in the choroid plexus, supplied by the anterior choroidal artery, classified according to Spetzler grading system as grade 3 (deep venous drainage: 1; eloquence area: 0 and size: 2). The differences in the clinical presentations of the central nervous system arteriovenous malformation between children and adults are discussed.
da Silva
Hilton Mariano
HM
Department of Neurology, São Paulo University School of Medicine at Rebeirão Preto, Brazil.
da Silva
Luciano Ricardo França
LR
Paschoal
Eric Homero Albuquerque
EH
Chaddad Neto
Feres Eduardo Aparecido
FE
Bordini
Carlos Alberto
CA
Speciali
José Geraldo
JG
D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D002552:Cerebral Ventricles / Q000098:blood supply*; D002648:Child; D005260:Female; D006261:Headache / Q000209:etiology*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications*; D014057:Tomography, X-Ray Computed