scholarly journals Clinical case of arteriovenous malformation

2021 ◽  
Vol 9 (4) ◽  
pp. 613-618
Author(s):  
Gennadiy A. Leonov ◽  
◽  
Anastasiya S. Solomatinа ◽  
Alexandr O. Burshinov ◽  
Ol’ga N. Krasnorutskaya ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Clinical Case ◽  
Surgical Intervention ◽  
Treatment Effectiveness ◽  
Parietal Lobe ◽  
Practical Interest ◽  
Venous Drainage ◽  
Cerebral Vessels ◽  
Surgical Removal ◽  
Risk Of Death

Arteriovenous malformation (AVM) is a congenital malformation of cerebral vessels, associated with an abnormal connection of arteries and veins. The altered locations of the cerebral vascula-ture form a conglomerate that is a direct arteriovenous shunting without intermediate capillaries. The incidence of the disease is 4 cases per 100 thousand population. Clinically, AVM debuts mainly at the age of 20 to 40, and is accompanied by intracranial hemorrhages in 50% to 60% of patients; mortality is 35%. In 27% to 70% of individuals, AVM are manifested by epileptic seizures of various focal origins. In diagnostics, X-ray computed tomography is used to detect hemorrhage in case of a ruptured malformation; magnetic resonance imaging, including angiography, to assess the AVM node, afferent vessels and venous drainage. Currently, the only radical treatment for AVM is surgical removal of the malformation. This is feasible for small and medium-sized AVMs of cerebral vessels (36% to 50% of patients), since removal of large AVMs and AVMs located in functionally important areas, even microsurgically, is associated with a high risk of death and disability. A clinical case of a 30-year-old young patient with an acute onset of the disease characterized by sudden loss of consciousness and an episode of seizures is presented. Based on the data of clinical and instrumental examination, an AVM of the left parietal lobe with parenchymal-ventricular hemorrhage was revealed. On the day of admission to the hospital in Ryazan, a surgical intervention was performed: external ventriculostomy on the left side. After 4 months the second surgical intervention, removal of AVM of the left parietal region using neurophysiological control was carried out at Burdenko Neurosurgical Hospital in Moscow, Russia. The successful surgical approach has completely eliminated the life-threatening pathology. Subsequently, the patient underwent rehabilitation in a neurological hospital at the place of residence. CONCLUSION: The topic of AVM is of great practical interest not only for neurosurgeons, but also for neurologists and radiologists, since timely diagnosis and treatment effectiveness directly depend on the coordinated work of these specialists.

scholarly journals Arteriovenous Malformation of the Vein of Galen: A Case Report

2021 ◽  
Vol 11 (1) ◽  
pp. 58-60
Author(s):  
Vyacheslav Kutashov ◽  
Olga Ulyanova ◽  
Igor Protasov ◽  
Oleg Zolotaryov ◽  
Elena Ananyeva ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Arteriovenous Malformation ◽  
Newborn Infant ◽  
Clinical Case ◽  
Practical Interest ◽  
Cerebral Vessels ◽  
Vein Of Galen ◽  
Rare Congenital Anomaly ◽  
New Approaches

The article presents literature data and the authors’ observations of the course of the vein of Galen aneurysmal malformation in a one-day-old newborn infant. This clinical case is of practical interest since the vein of Galen aneurysmal malformation is a rare congenital anomaly of cerebral vessels. The results of arteriovenous malformation treatment in recent years have improved considerably, but many diagnostic and curative aspects in children require the development of new approaches to addressing this problem.

scholarly journals Clinical Case of Arteriovenous Malformation in a Pregnant Woman

2020 ◽  
Vol 5 (6) ◽  
pp. 88-94
Author(s):  
N. A. Abdullaeva ◽  
◽  
V. I Cherepova ◽  
O. L. Tovazhnyanska ◽  
V. V. Lazurenko
Keyword(s):  
Pregnant Woman ◽  
Arteriovenous Malformation ◽  
Pregnant Women ◽  
Clinical Case ◽  
Cerebrovascular Disorders ◽  
Cerebral Vessels ◽  
Second Trimester ◽  
Physiological Time ◽  
Neurosurgical Treatment ◽  
Effective Result

Extragenital pathology during pregnancy and childbirth occupies a leading place in maternal mortality and perinatal pathology. One of the main ways to maintain the health of mother and child is to identify somatic diseases in pregnant women and timely treat them. Nervous system diseases that occur in pregnant women are mainly epilepsy, multiple sclerosis, brain tumors, cerebrovascular disorders, although remain poorly understood, but require immediate decisions to prolong pregnancy, obstetric tactics during childbirth, conservative or conservative surgery. The pathology of cerebral vessels (arterial aneurysms and arteriovenous malformations) also remains an urgent problem, despite many years of experience in their diagnosis and treatment. The sudden development of symptoms, severity of clinical manifestations and high mortality in rupture of an aneurysm or arteriovenous malformation of cerebral vessels determine the urgency of this problem and increased interest in its study, especially in pregnant women. Material and methods. The paper presents a clinical case of arteriovenous malformation in a 25-year-old pregnant woman, her treatment and delivery. Results and discussion. Arteriovenous malformation is considered a congenital cerebrovascular pathology, which is accompanied by a sudden rupture of abnormal vessels with the development of hemorrhagic stroke, without specific clinical symptoms and precursors, which complicates lifelong diagnosis. Endovascular embolization during pregnancy saved the lives of women and children. An effective result was obtained after neurosurgical treatment of arteriovenous malformation in a pregnant woman in the second trimester of pregnancy (17 weeks), which allowed to bring the pregnancy to the physiological time of delivery. Taking into account the complex neurological pathology, neurosurgery, which requires the exclusion of a powerful period of childbirth, a pregnant woman gave birth by cesarean section at 38 weeks of pregnancy. Conclusion. An effective result was obtained after neurosurgical treatment of arteriovenous malformation in a pregnant woman in the second trimester of pregnancy, which allowed to bring the pregnancy to the physiological time of delivery. The obtained results indicated the possibility of full-term pregnancy, reduction of maternal and perinatal morbidity and mortality in pregnant women with arteriovenous malformation with timely preventive and curative measures with timely referral of pregnant women to the perinatal center on the basis of a multidisciplinary clinical institution to prevent complications

scholarly journals Removal of malformation in cerebral proliferative angiopathy: illustrative case

2021 ◽  
Vol 1 (9) ◽  
Author(s):  
Gwang Yoon Choi ◽  
Hyuk Jai Choi ◽  
Jin Pyeong Jeon ◽  
Jin Seo Yang ◽  
Suk-Hyung Kang ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Vascular Malformation ◽  
Surgical Intervention ◽  
Meta Analysis ◽  
Treatment Method ◽  
Surgical Removal ◽  
Illustrative Case ◽  
Vascular Disorder ◽  
Effective Treatment Modality ◽  
Promising Treatment

BACKGROUNDCerebral proliferative angiopathy (CPA) is a rare vascular disorder distinct from arteriovenous malformation. Because of the disorder’s rarity, there is still a controversy on the most promising treatment method for CPA. However, several meta-analysis articles suggest indirect vascularization such as encephalo-duro-arterio-synangiosis as an effective way of treating symptoms that are medically uncontrolled.OBSERVATIONSThe authors describe a case of an 11-year-old boy with this disease, who had epilepsy that was intractable despite conservative management. The patient recovered from his symptoms after the vascular malformation was surgically removed. This is the first reported case of surgical removal in CPA.LESSONSAlthough further investigation on the best treatment for CPA is needed, the authors believe surgical intervention may also be an effective treatment modality when a patient presents with persisting symptoms.

Surgical treatment of alveolar echinococcosis: a single centre experience and systematic review of the literature

2019 ◽  
Vol 98 (4) ◽  
pp. 167-173
Keyword(s):  
Case Report ◽  
Echinococcus Multilocularis ◽  
Alveolar Echinococcosis ◽  
Lymphatic System ◽  
Surgical Intervention ◽  
Clinical Symptoms ◽  
Safety Margin ◽  
Surgical Removal ◽  
Single Centre Experience ◽  
Therapeutic Procedures

Introduction: Alveolar echinococcosis (AE) is a zoonosis caused by Echinococcus multilocularis. AE is primarily localised in the liver. Echinococcus multilocularis imitates tumour-like behaviour. It can metastasise through blood or lymphatic system to distant organs. Echinococcosis often remains asymptomatic due to its long incubation period and indistinct symptoms. Clinical symptoms are determined by the parasite’s location. Diagnosis of echinococcosis is based on medical history, clinical symptoms, laboratory tests, serology results, imaging methods and final histology findings. Surgical removal of the cyst with a safety margin, followed by chemotherapy is the therapeutic method of choice. Case report: We present a case report of alveolar echinococcosis in a thirty-year-old female patient in whom we surgically removed multiple liver foci of alveolar echinococcosis. The disease recurred after two years and required another surgical intervention. Conclusions: Alveolar echinococcosis is a disease with a high potential for a complete cure provided that it is diagnosed early and that the recommended therapeutic procedures are strictly adhered to.

To the clinic of infected ulcers of the stomach and duodenum

1927 ◽  
Vol 23 (5) ◽  
pp. 516-523
Author(s):  
S. A. Grosman ◽  
M. M. Brailovsky
Keyword(s):  
Clinical Manifestation ◽  
Surgical Intervention ◽  
Secondary Infection ◽  
Practical Interest ◽  
Point Of View ◽  
French School

We will not touch the controversial question of the role of infection in the genesis of ulcers and will adopt the point of view of the French school (Duval, Roux, Montier, Girault), for which the concept of an infected ulcer is only a concept of a pathological-anatomical and clinical nature, related to the concept of the evolution of an already existing ulcer, depending on its secondary infection. This evolution of the ulcer, in the presence of a new ingredient of infection, creates some peculiarities in its clinical manifestation,-peculiarities which, in suitable cases, can and must be taken into account both in the choice of time and in the choice of method of surgical intervention. Thus, the question under consideration by us has not only theoretical character, but, as we will try to state below, acquires also a certain practical interest.

Right-Hemisphere Language Dominance in a Case of Left-Hemisphere Arteriovenous Malformation

1977 ◽  
Vol 42 (1) ◽  
pp. 106-112 ◽  
Author(s):  
Robert T. Wertz ◽  
Bernard Messert ◽  
Michael Collins ◽  
Jay C. Rosenbek ◽  
Chun C. Kao
Keyword(s):  
Arteriovenous Malformation ◽  
Left Hemisphere ◽  
Right Hemisphere ◽  
Surgical Removal ◽  
Language Dominance ◽  
Language Deficit ◽  
Left Handed ◽  
Motor Areas

This paper reports a case of surgical removal of a left-hemisphere arteriovenous malformation (AVM) in a left-handed adult without subsequent speech or language deficit. Preoperative intracarotid amobarbital testing indicated right-hemisphere language dominance. Our patient demonstrated no language involvement prior to or following surgery. We speculate the congenital nature of a left-hemisphere AVM may dictate right-hemisphere language dominance, thereby explaining the lack of residuals following removal of AVMs in left-hemisphere speech and motor areas.

scholarly journals Perforation of the jejunum diverticulum: the role of CT examination

2019 ◽  
pp. 66-76
Author(s):  
I. V. Platitsyn ◽  
A. V. Kondratyev ◽  
A. V. Panin ◽  
E. M. Shubarkina ◽  
A. L. Maslov
Keyword(s):  
Small Intestine ◽  
Acute Abdomen ◽  
Research Methods ◽  
Clinical Case ◽  
Laparoscopic Resection ◽  
Surgical Intervention ◽  
Everyday Practice ◽  
Correct Interpretation ◽  
Common Causes

Uncomplicated diverticula of the small intestine are asymptomatic, extremely rare in everyday practice and, most often, are detected already with the development of complications such as perforation and abscess formation. Diagnosis of complicated diverticula of the small intestine is difficult due to many other, more common causes of acute abdomen, insufficient use of the capabilities of the methods of radiation diagnosis, the lack of application and correct interpretation of the results of instrumental and special research methods. The article presents a clinical case of perforation of the jejunum diverticulum. The results of effective MDCT diagnosis and successful surgical intervention are presented: laparoscopic resection of the jejunum with the formation of the primary hardware intracorporeal enteroentero-anastomosis side by side. 

scholarly journals DIAGNOSTIC PROBLEMS ACCOMPANYING BRANHYOGENIC CANCER – A CLINICAL CASE

2020 ◽  
Vol 73 (3) ◽  
pp. 614-618
Author(s):  
Uliana D. Matolych ◽  
Svetlana V. Ushtan ◽  
Victoria V. Pankevych ◽  
Kateryna V. Horytska
Keyword(s):  
Head And Neck ◽  
Morphological Analysis ◽  
Clinical Case ◽  
Ultrasound Examination ◽  
Transitional Cell ◽  
Final Diagnosis ◽  
Surgical Removal ◽  
Invasive Squamous Cell Carcinoma ◽  
Bronchial Cancer ◽  
Neck Vessels

Tumours and tumorous lesions of head and neck account for 10% of all oncological pathologies. Branhyogenic cancer is found in 4.5% of patients with lateral cysts in the neck. The article highlights the results of research the clinical case of branhyogenic cancer, provide its clinical and morphological analysis. The aim of our work was to study the clinical case of bronchial cancer, providing clinical and pathomorphological analysis. Examination and treatment was conducted in accordance with the clinical protocol using the diagnostic criteria necessary for management of patients diagnosed with tumours and tumorous lesions in a particular clinical case. We applied ultrasound examination of the locus, angiography of head and neck vessels with tomohexol and with 3D reconstruction, histological examination of surgical specimens (macroscopy and microscopy). On the basis of clinical investigaton, ultrasound examination, angiography clinical diagnosis was formulated – lateral cyst on the left side of the neck. A radical surgical removal of the mass was conducted. Histopathological conclusion: there is a proliferation of cystic transitional cell epithelium with the locus of invasive squamous cell carcinoma in the cystic wall that suggests malignant transformation of bronchogenic cyst. Final diagnosis: branhyogenic cancer. Thorough examination and analysis of a clinical case demonstrates that the development of branhyogenic cancer, is histo-genetically associated with lateral cysts in the neck. Complexity of diagnosing and high percentage of malignancy induces to more early discovery and removal of lateral cysts in the neck .

scholarly journals GOUGEROT-HAILEY-HAILEY’S FAMILIAL BENIGN CHRONIC PEMPHIGUS: A CASE REPORT

2019 ◽  
Vol 22 (3-4) ◽  
pp. 86-92
Author(s):  
O. V Grabovskaya ◽  
N. P Teplyuk ◽  
Yuliya V. Kolesova
Keyword(s):  
Case Report ◽  
Family History ◽  
Clinical Case ◽  
Treatment Effectiveness ◽  
Diagnosis And Treatment ◽  
Review Of The Literature ◽  
Ozone Therapy ◽  
Treatment Methods

The review of the literature on epidemiology, pathogenesis, diagnosis and treatment methods for chronic familial benign pemphigus Gougerot-Haley-Haley, as well as a clinical case of a patient with this disease with family history are presented. The manifestation of the disease occurred at the age of 24, after childbirth. Later there were numerous relapses. Remission was quickly achieved after treatment with antibiotics and oxygen-ozone therapy. In recent years, there has been an increase in the frequency of exacerbations of the disease, and a decrease in treatment effectiveness.

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