<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2221-2434</journal-id>
<journal-title><![CDATA[Revista Finlay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Finlay]]></abbrev-journal-title>
<issn>2221-2434</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos. Centro Provincial de información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2221-24342020000400445</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hematoma intraparenquimatoso como inicio de una malformación arteriovenosa. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Intraparenchymal Hematoma as the Beginning of an Arteriovenous Malformation. Case Report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Leonard]]></surname>
<given-names><![CDATA[Juan Ibrahim]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Lozano]]></surname>
<given-names><![CDATA[Ada]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valladares Valle]]></surname>
<given-names><![CDATA[Masleidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>10</volume>
<numero>4</numero>
<fpage>445</fpage>
<lpage>451</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2221-24342020000400445&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2221-24342020000400445&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2221-24342020000400445&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Las malformaciones arteriovenosas cerebrales son anormalidades vasculares caracterizadas por una conexión fistulosa entre arterias y venas sin la intervención del lecho capilar normalmente existente. Se localizan con frecuencia en el territorio de las grandes arterias cerebrales, pero pueden aparecer en cualquier otro lecho vascular y son las causantes de hemorragias intracerebrales, epilepsia, signos neurológicos focales y otros síntomas. Se reporta el caso de una paciente de sexo femenino, de 64 años, hipertensa y diabética, que de forma aguda presenta cuadro de debilidad hemicorporal izquierda. Al examen físico presentaba, disartria, hemiparesia izquierda y signos meníngeos. La tomografía axial computarizada inicial mostró un hematoma intraparenquimatoso parietooccipital derecho con apertura al sistema ventricular. La angio-TAC mostró malformaciones arteriovenosas cerebrales parietooccipitales derechas. El tratamiento de este padecimiento depende de los factores del paciente, así como de factores angiográficos. Las diferentes opciones son: conducta expectante, tratamiento médico sintomático, resección quirúrgica, terapia endovascular, radiocirugía estereotáxica. Se presenta el caso clínico de un hematoma intraparenquimatoso secundario a una malformación arteriovenosa cerebral porque es un padecimiento poco frecuente en un adulto mayor.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Cerebral arteriovenous malformations are vascular abnormalities characterized by a fistulous connection between arteries and veins without the intervention of the normally existing capillary bed. They are frequently located in the territory of the great cerebral arteries, but they can appear in any other vascular bed and are causes of intracerebral hemorrhages, epilepsy, focal neurological signs, and other symptoms. A case of a 64-year-old female patient, hypertensive and diabetic, who acutely presented with left hemicorporal weakness, is presented. On physical examination, she had dysarthria, left hemiparesis and meningeal signs. The initial computed tomography scan showed a right parietooccipital intraparenchymal hematoma opening to the ventricular system. CT angiography showed right parietooccipital cerebral arteriovenous malformations. Treatment of this condition depends on patient factors, as well as angiographic factors. The different options are: watchful waiting, symptomatic medical treatment, surgical resection, endovascular therapy, stereotaxic radiosurgery. The clinical case of an intraparenchymal hematoma secondary to a cerebral arteriovenous malformation is presented because it is a rare condition in an older adult.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[malformaciones arteriovenosas cerebrales]]></kwd>
<kwd lng="es"><![CDATA[arterias cerebrales]]></kwd>
<kwd lng="es"><![CDATA[reporte de casos]]></kwd>
<kwd lng="en"><![CDATA[cerebral arteriovenous malformations]]></kwd>
<kwd lng="en"><![CDATA[cerebral arteries]]></kwd>
<kwd lng="en"><![CDATA[case reports]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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