Asian Journal of Neurosurgery

CASE REPORT
Year
: 2012  |  Volume : 7  |  Issue : 4  |  Page : 210--213

Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings


Venkatesh S Madhugiri1, Arivazhagan Arimappamagan2, Bangalore A Chandramouli3 
1 Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
2 Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences, Bangalore, India
3 Department of Neurosurgery, Vikram Hospital, Bangalore, India

Correspondence Address:
Venkatesh S Madhugiri
Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry - 605 006
India

We report a rare case of a patient with a pial arteriovenous malformation (AVM) who presented in altered sensorium. He was found to have large epidural and subdural hematomas overlying a pial AVM. He underwent evacuation of these hematomas and postop computed tomography showed infarcts deep to the site of hematoma evacuation. These infarcts were postulated to be due to a steal phenomenon combined with raised intracranial pressure. The management and possible mechanisms for this rare combination are discussed.


How to cite this article:
Madhugiri VS, Arimappamagan A, Chandramouli BA. Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings.Asian J Neurosurg 2012;7:210-213


How to cite this URL:
Madhugiri VS, Arimappamagan A, Chandramouli BA. Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings. Asian J Neurosurg [serial online] 2012 [cited 2021 Sep 26 ];7:210-213
Available from: https://www.asianjns.org/article.asp?issn=1793-5482;year=2012;volume=7;issue=4;spage=210;epage=213;aulast=Madhugiri;type=0