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.
Department of Neurology, São Paulo University School of Medicine at Rebeirão Preto, Brazil.
Hilton Mariano
HM
da Silva
Luciano Ricardo França
LR
da Silva
Eric Homero Albuquerque
EH
Paschoal
Feres Eduardo Aparecido
FE
Chaddad Neto
Carlos Alberto
CA
Bordini
José Geraldo
JG
Speciali
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