[Primary intraventricular hemorrhage as a result of a bleeding arteriovenous malformation].
Primary intraventricular hemorrhage is very rare in adults and is even more infrequent in children. We present a 15-year-old girl who presented to the hospital because of sudden severe headache, vomiting and fever. Neurological examination only showed neck stiffness. A brain computed tomography showed blood in the ventricular system. Conventional angiography revealed an arteriovenous malformation originating in the right pericallosal artery branches. Gamma-knife radiosurgery was performed without relevant complications. A follow-up cerebral angiography showed disappearance of the arteriovenous malformation. When a primary intraventricular hemorrhage is detected in a young patient it is mandatory to rule out an underlying lesion such an arteriovenous malformation. Treatment options include surgery, interventional radiology and radiosurgery, alone or in combination.
Vázquez-López
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ME
Servicio de Pediatría, Complejo Hospitalario Xeral-Calde, 27004 Lugo, España. esther.vazquez.lopez@sergas.es
Pego-Reigosa
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D000293:Adolescent; D002543:Cerebral Hemorrhage / Q000209:etiology*; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications* / Q000175:diagnosis / Q000628:therapy