脑室旁动静脉畸形早期再出血——病例报告并文献复习

Early Rebleeding of Paraventricular Arteriovenous Malformations—A Case Report and Literature Review

摘要: 目的：总结脑室旁动静脉畸形破裂出血后的治疗时机与方案。方法：回顾1例脑室旁动静脉畸形短期再出血患者的临床资料。结果：患者在首次破裂出血后行保守治疗期间再次破裂出血，急诊手术进行侧脑室引流后行手术切除。结论：表现为脑室内出血的脑室旁动静脉畸形，短期内再出血的风险增高，积极的手术治疗对于改善预后及避免灾难性后果具有重要意义。

Abstract: Objective: To summarize the timing and strategy of ruptured paraventricular arteriovenous malformations. Methods: The clinical data of ruptured paraventricular arteriovenous malformation with short-term rebleeding were reviewed. Results: During the conservative treatment period, the patient suffered from rupture and rebleeding. After drainage of lateral ventricle in emergency operation, the lesion resection operation was performed. Conclusion: The paraventricular arteriovenous malformation with intraventricular hemorrhage has an increased risk of short-term rebleeding after initial ictus. Active surgical treatment is of great significance to improve the prognosis and avoid catastrophic consequences.