A late haemorrhagic complication in an arteriovenous malformation cured with radiosurgery. Case report.
Radiosurgery is a recognized safe form of treating and usually curing arteriovenous malformations (AVMs). Complications related to radiosurgery, especially late sequelae, are rare. Such sequelae may be secondary to incomplete treatment of the original lesion such as haemorrhage, or secondary to the radiation damage to the tissue, or both. Sometimes treatment may induce new lesions. We report a patient who had an AVM cured with radiosurgery, but developed hemisensory loss acutely and had changes on MRI in keeping with a haematoma. We discuss the possible differential diagnosis that should be considered.
Division of Neurosurgery, Groote Schuur Hospital, Cape Town, South Africa. davidlefeuvre@hotmail.com
D E J
DE
Le Feuvre
J D
JD
Parkes
P
P
Mukheiber
R
R
James
A G
AG
Taylor
D015901:Angiography, Digital Subtraction; D002533:Cerebral Angiography; D006406:Hematoma / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery*; D016634:Radiosurgery; D055815:Young Adult