title: [Brain abscess mediated through a pulmonary arteriovenous malformation in a patient with hereditary hemorrhagic telangiectasia].
abstract: The patient is a 66-year-old man with hereditary telangiectasia. He was diagnosed with pulmonary arteriovenous malformation (PAVM), which was revealed by contrast-enhanced chest computed tomography at the age of 65. He developed headache, right homonymous hemianopsia, and right hemiparesis and was admitted to our hospital. Contrast-enhanced magnetic resonance imaging revealed multiple lesions in the left hemisphere, which indicates brain abscesses. Thus, the diagnosis of brain abscess mediated through PAVM was established. Following management with drainage and coil embolization, all neurological symptoms resolved. Therefore, coil embolization should be considered for PAVM at an early stage to prevent brain abscess, even if it is asymptomatic.
authors.affiliation: Department of Neurology, Toyonaka Municipal Hospital.
authors.forename: Kohei
authors.initials: K
authors.lastname: Tsujimoto
authors.forename: Masayuki
authors.initials: M
authors.lastname: Moriya
authors.forename: Keiko
authors.initials: K
authors.lastname: Yaka
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kawasaki
authors.forename: Rie
authors.initials: R
authors.lastname: Nakatani
authors.forename: Ichiro
authors.initials: I
authors.lastname: Naba
authors.forename: Misa
authors.initials: M
authors.lastname: Nakano
authors.forename: Chikao
authors.initials: C
authors.lastname: Tatsumi
authors.forename: Taku
authors.initials: T
authors.lastname: Yasumoto
authors.forename: Ryuji
authors.initials: R
authors.lastname: Kawahara
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001164:Arteriovenous Fistula; D001165:Arteriovenous Malformations / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D001922:Brain Abscess / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D004322:Drainage / Q000379:methods; D004359:Drug Therapy, Combination; D004621:Embolization, Therapeutic / Q000379:methods; D005674:Fusobacterium Infections / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D016967:Fusobacterium nucleatum / Q000302:isolation & purification; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D011667:Pulmonary Veins / Q000002:abnormalities*; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents