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Vol. 4. Issue 4.
Pages 275-280 (January 1993)
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Vol. 4. Issue 4.
Pages 275-280 (January 1993)
Vasoespasmo cerebral asociado a malformación arteriovenosa sangrante. Presentación de cinco casos clínicos y revisión de la literatura
R.D. Lobato, P.A. Gómez, R. Alday, J. Donúnguez, H. Sandoval, J. Ayerbe, J.J. Rivas, A. Cabrera, J.M. Ortega
Servicio de Neurocirugía, Hospital «12 de Octubre», Madrid
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Resumen

Se describen cinco casos de asociación de vasoespasmo cerebral y malformación arteriovenosa intracraneal sangrante. En uno de los pacientes el vasoespasmo de las arterias nutricias de la malformación redujo transitoriamente el flujo a través de la lesión limitando el llenado del nidus y de las venas de drenaje que no eran visibles en el estudio angiográfico inicial. Se comentan la relativa rareza y los posibles mecanismos del vasoespasmo cerebral asociado a MAV sangrante.

Palabras clave:
Malformación arteriovenosa
Vasoespasmo
Hemorragia intraventricular
Hemorragia subaracnoidea
Angiografía cerebral
Tomografía axial computerizada
Summary

Five cases of cerebral vasospasm associated with intraventricular or subarachnoid hemorrhage caused by a ruptured intracranial arteriovenous malformation are reported. In one patient cerebral vasospasm transiently reduced blood flow through the malformation, preventing angiographic visualization of the nidus and the draining veins. The rarity and possible mechanisms of cerebrovascular spasm following the rupture of AVMs are discussed.

Key words:
Arteriovenous malformation
Cerebral vasospasm
Ventricular hemorrhage
Subarachnoid hemorrhage
Cerebral angiography
Computed tomography

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