Revista Cubana de Cirugía
versión ISSN 0034-7493
GUEVARA MELCON, Antonio; OBREGON MARIN, Ashley y ROIG FABRE, Esteban. Spontaneous self-destruction of a cerebral arteriovenous malformation. Rev Cubana Cir [online]. 2011, vol.50, n.4, pp. 541-547. ISSN 0034-7493.
Authors present the case of a patient researched and operated on in the "General Calixto García" University Hospital presenting with a cerebral arteriovenous malformation disappeared spontaneously after a neurologic picture of intense severity. From the arteriographic point of view it was verified that it was associated with an arterial aneurysm present in her same cerebral vascular system. The patient has had three neurological events in rising order of severity which was the last reason for admission in the Intensive Therapy Unit (ITU) with a level of 5 in the Glasgow scale for the coma and without obvious meningeal signs. The injury classified as a cerebral arteriovenous malformation according to the previous computerized axial tomographies was not evidenced in the cerebral panangiograpy carried out in the clinical phase improvement after its more critical stage. Such angiography demonstrated the presence of a arterial aneurysm homolateral to the already disappeared arteriovenous malformation, which was excluded of the circulation by means of stitching of neck without transoperative and postoperative significant events. In this respect, author made a literature review.
Palabras llave : cerebral arteriovenous malformation; spontaneous destruction; arterial aneurysm.