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Journal of Korean Neurosurgical Society 2001;30(6): 781-785. |
| Cervicomedullary Junction AVM Presenting Recurrent Intraventricular Hemorrhage. |
| Sang Weon Lee, Chang Hwa Choi, Seung Heon Cha, Dong June Park, Geun Sung Song, Young Woo Lee |
| Department of Neurosurgery, Pusan National University, School of Medicine, Pusan, Korea. |
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| ABSTRACT |
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Cervicomedullary junction arteriovenous malformation(AVM) is extremely rare. The authors present a case of a cervicomedullary junction AVM in a 31-year-old woman presenting with recurrent intraventricular hemorrhage(IVH).
Magnetic resonance imaging revealed the AVM(of a size of approximately 2X2.5X4cm) extending from a lower medulla to C2-3 level. Vertebral angiography demonstrated a tightly coiled vascular mass with multiple feeders (radiculomedullary arteries) and irregular-shaped aneurysm at distal part of feeder originating at right C-1 level. The patient underwent superselective embolization of upper nidus and the aneurysm. The pertinent literature is reviewed, and diagnostic and therapeutic implications are discussed. |
| Key Words:
Cervicomedullary junction; Arteriovenous malformation; Intraventricular hemorrhage; Angiography; Embolization |
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