Hydrocephalus and Spasticity in Motor Area AVM, a Case Report

Veranis Sotiri; Papageorgiou Demetrios; Mpazinas Theodoros; Lagios Konstantinos

doi:doi:10.11648/j.cnn.20190301.12

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Hydrocephalus and Spasticity in Motor Area AVM, a Case Report

Veranis Sotiri, Papageorgiou Demetrios, Mpazinas Theodoros, Lagios Konstantinos

Published in Clinical Neurology and Neuroscience (Volume 3, Issue 1)

Received: 25 February 2019 Accepted: 8 April 2019 Published: 15 May 2019

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Abstract

Obstructive hydrocephalus is a rare complication of brain AVM’s. It usually diagnosed because of posterior fossa AVM’s. This article is about a case of a 40-year-old female patient suffering from a right fronto-parietal unruptured grade IV AVM located in the central sulcus who developed obstructive hydrocephalus and worsening of left sided weakness and spasticity. The AVM has been embolized twice in the past and no further treatment was offered because of the adjacent motor cortex and concerns of permanent neurological damage. Patient was treated with navigated ventricular-peritoneal shunt with a programmable valve. Interestingly there was an improvement of spasticity and weakness.

Published in	Clinical Neurology and Neuroscience (Volume 3, Issue 1)
DOI	10.11648/j.cnn.20190301.12
Page(s)	6-10
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Hydrocephalus, Arteriovenous Malformation, Spasticity, Motor Cortex

References

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[2]	Lin F, Wu J, Zhao B, Tong X, Jin Z, Cao Y, Wang S Preoperative Functional Findings and Surgical Outcomes in Patients with Motor Cortical Arteriovenous Malformation. World Neurosurg 2016 Jan; 85:273-81. doi: 10.1016/j.wneu.2015.10.002. Epub 2015 Oct 13.
[3]	Paulsen RD, et al. Embolization of rolandic cortex arteriovenous malformations. Neurosurgery. 1999 Mar;44(3):479-84; discussion 484-6.
[4]	Tucker A, et al. Endoscopic third ventriculostomy for hydrocephalus due to unruptured pineal AVM: case report and review of the literature J Neurol Surg A Cent Eur Neurosurg. 2013.
[5]	Rossitti S. Pathophysiology of increased cerebrospinal fluid pressure associated to brain arteriovenous malformations: The hydraulic hypothesis Surg Neurol Int. 2013.
[6]	Hoya K, Asai A, Sasaki T, Nagata K, Kimura K, Kirino T Expression of myosin heavy chain isoforms by smooth muscle cells in cerebral arteriovenous malformations Acta Neuropathol 2003 May; 105(5):455-61. Epub 2003 Jan 28.
[7]	Pandyan AD, Johnson GR, Price CI, Curless RH, Barnes MP, Rodgers H A review of the properties and limitations of the Ashworth and modified Ashworth Scales as measures of spasticity Clin Rehabil 1999 Oct;13(5):373-83.
[8]	Hermnann EJ, Polemikos M, Heissler HE, Krauss JK Shunt Surgery in Idiopathic Intracranial Hypertension Aided by Electromagnetic Navigation Stereotact Funct Neurosurg 2017;95(1):26-33. doi: 10.1159/000453277. Epub 2017 Jan 14.
[9]	Bembich S, Cont G, Bua J, Paviotti G, Demarini. S Cerebral Hemodynamics During Neonatal Cerebrospinal Fluid Removal Pediatric Neurol 2019 Jan 8. pii: S0887-8994(18)31063-4. doi: 10.1016/j.pediatrneurol.2019.01.005. [Epub ahead of print].
[10]	Li M, Wang H, Ouyang Y, Yin M, Yin X Int J Surg Efficacy and safety of programmable shunt valves for hydrocephalus: A meta-analysis. 2017 Aug; 44:139-146. doi: 10.1016/j.ijsu.2017.06.078. Epub 2017 Jun 22.
[11]	Charles CHAMPEAUX, Céline BOTELLA, Etienne LEFEVRE, Bertrand DEVAUX Obstructive Hydrocephalus Caused by an Unruptured Arteriovenous Malformation Successfully Treated by Endoscopic Third Ventriculostomy After Shunt Dysfunction Turk Neurosurg 28(3):500-504, 2018.
[12]	Mascaros V, Eymann R, Marco J, Kiefer M The importance of hydrostatic valves in the treatment of adult chronic hydrocephalus Neurologia 2001 May;16(5):204-13.
[13]	Tsuji A, Nozaki K A, Prospective and Retrospective Study of Cerebral AVM Treatment Strategies 1990-2014. Acta Neurochir Suppl 2016; 123:135-9 doi: 10.1007/978-3-319-29887-0_19.
[14]	Müller A, Mould WA, Freeman WD, McBee N, Lane K, Dlugash R, Thompson R, Nekoovaght-Tak S, Madan V, Ali H, Stadnik A, Awad I, Hanley D, Ziai WC; CLEAR investigators The Incidence of Catheter Tract Hemorrhage and Catheter Placement Accuracy in the CLEAR III Trial Neurocrit Care. 2018 Aug; 29(1):23-32. doi: 10.1007/s12028-017-0492-6
[15]	Khan NR, DeCuypere M, Vaughn BN, Klimo P, Image Guidance for Ventricular Shunt Surgery: An Analysis of Ventricular Size and Proximal Revision Rates Neurosurgery. 2019 Mar 1; 84(3):624-635. doi: 10.1093/neuros/nyy074
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APA Style

Veranis Sotiri, Papageorgiou Demetrios, Mpazinas Theodoros, Lagios Konstantinos. (2019). Hydrocephalus and Spasticity in Motor Area AVM, a Case Report. Clinical Neurology and Neuroscience, 3(1), 6-10. https://doi.org/10.11648/j.cnn.20190301.12

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ACS Style

Veranis Sotiri; Papageorgiou Demetrios; Mpazinas Theodoros; Lagios Konstantinos. Hydrocephalus and Spasticity in Motor Area AVM, a Case Report. Clin. Neurol. Neurosci. 2019, 3(1), 6-10. doi: 10.11648/j.cnn.20190301.12

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AMA Style

Veranis Sotiri, Papageorgiou Demetrios, Mpazinas Theodoros, Lagios Konstantinos. Hydrocephalus and Spasticity in Motor Area AVM, a Case Report. Clin Neurol Neurosci. 2019;3(1):6-10. doi: 10.11648/j.cnn.20190301.12

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@article{10.11648/j.cnn.20190301.12,
  author = {Veranis Sotiri and Papageorgiou Demetrios and Mpazinas Theodoros and Lagios Konstantinos},
  title = {Hydrocephalus and Spasticity in Motor Area AVM, a Case Report},
  journal = {Clinical Neurology and Neuroscience},
  volume = {3},
  number = {1},
  pages = {6-10},
  doi = {10.11648/j.cnn.20190301.12},
  url = {https://doi.org/10.11648/j.cnn.20190301.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20190301.12},
  abstract = {Obstructive hydrocephalus is a rare complication of brain AVM’s. It usually diagnosed because of posterior fossa AVM’s. This article is about a case of a 40-year-old female patient suffering from a right fronto-parietal unruptured grade IV AVM located in the central sulcus who developed obstructive hydrocephalus and worsening of left sided weakness and spasticity. The AVM has been embolized twice in the past and no further treatment was offered because of the adjacent motor cortex and concerns of permanent neurological damage. Patient was treated with navigated ventricular-peritoneal shunt with a programmable valve. Interestingly there was an improvement of spasticity and weakness.},
 year = {2019}
}

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TY  - JOUR
T1  - Hydrocephalus and Spasticity in Motor Area AVM, a Case Report
AU  - Veranis Sotiri
AU  - Papageorgiou Demetrios
AU  - Mpazinas Theodoros
AU  - Lagios Konstantinos
Y1  - 2019/05/15
PY  - 2019
N1  - https://doi.org/10.11648/j.cnn.20190301.12
DO  - 10.11648/j.cnn.20190301.12
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 6
EP  - 10
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20190301.12
AB  - Obstructive hydrocephalus is a rare complication of brain AVM’s. It usually diagnosed because of posterior fossa AVM’s. This article is about a case of a 40-year-old female patient suffering from a right fronto-parietal unruptured grade IV AVM located in the central sulcus who developed obstructive hydrocephalus and worsening of left sided weakness and spasticity. The AVM has been embolized twice in the past and no further treatment was offered because of the adjacent motor cortex and concerns of permanent neurological damage. Patient was treated with navigated ventricular-peritoneal shunt with a programmable valve. Interestingly there was an improvement of spasticity and weakness.
VL  - 3
IS  - 1
ER  -

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Author Information

Veranis Sotiri

Neurosurgical Department, 251 General Air Force and Reserve Hospital, Athens, Greece
Papageorgiou Demetrios

Neurosurgical Department, 251 General Air Force and Reserve Hospital, Athens, Greece
Mpazinas Theodoros

Neurointernvantional Unit, 251 General Air Force and Reserve Hospital, Athens, Greece
Lagios Konstantinos

Neurointernvantional Unit, 251 General Air Force and Reserve Hospital, Athens, Greece

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Plain Text BibTeX RIS

APA Style

Veranis Sotiri, Papageorgiou Demetrios, Mpazinas Theodoros, Lagios Konstantinos. (2019). Hydrocephalus and Spasticity in Motor Area AVM, a Case Report. Clinical Neurology and Neuroscience, 3(1), 6-10. https://doi.org/10.11648/j.cnn.20190301.12

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ACS Style

Veranis Sotiri; Papageorgiou Demetrios; Mpazinas Theodoros; Lagios Konstantinos. Hydrocephalus and Spasticity in Motor Area AVM, a Case Report. Clin. Neurol. Neurosci. 2019, 3(1), 6-10. doi: 10.11648/j.cnn.20190301.12

Copy | Download

AMA Style

Veranis Sotiri, Papageorgiou Demetrios, Mpazinas Theodoros, Lagios Konstantinos. Hydrocephalus and Spasticity in Motor Area AVM, a Case Report. Clin Neurol Neurosci. 2019;3(1):6-10. doi: 10.11648/j.cnn.20190301.12

Copy | Download

@article{10.11648/j.cnn.20190301.12,
  author = {Veranis Sotiri and Papageorgiou Demetrios and Mpazinas Theodoros and Lagios Konstantinos},
  title = {Hydrocephalus and Spasticity in Motor Area AVM, a Case Report},
  journal = {Clinical Neurology and Neuroscience},
  volume = {3},
  number = {1},
  pages = {6-10},
  doi = {10.11648/j.cnn.20190301.12},
  url = {https://doi.org/10.11648/j.cnn.20190301.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20190301.12},
  abstract = {Obstructive hydrocephalus is a rare complication of brain AVM’s. It usually diagnosed because of posterior fossa AVM’s. This article is about a case of a 40-year-old female patient suffering from a right fronto-parietal unruptured grade IV AVM located in the central sulcus who developed obstructive hydrocephalus and worsening of left sided weakness and spasticity. The AVM has been embolized twice in the past and no further treatment was offered because of the adjacent motor cortex and concerns of permanent neurological damage. Patient was treated with navigated ventricular-peritoneal shunt with a programmable valve. Interestingly there was an improvement of spasticity and weakness.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Hydrocephalus and Spasticity in Motor Area AVM, a Case Report
AU  - Veranis Sotiri
AU  - Papageorgiou Demetrios
AU  - Mpazinas Theodoros
AU  - Lagios Konstantinos
Y1  - 2019/05/15
PY  - 2019
N1  - https://doi.org/10.11648/j.cnn.20190301.12
DO  - 10.11648/j.cnn.20190301.12
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 6
EP  - 10
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20190301.12
AB  - Obstructive hydrocephalus is a rare complication of brain AVM’s. It usually diagnosed because of posterior fossa AVM’s. This article is about a case of a 40-year-old female patient suffering from a right fronto-parietal unruptured grade IV AVM located in the central sulcus who developed obstructive hydrocephalus and worsening of left sided weakness and spasticity. The AVM has been embolized twice in the past and no further treatment was offered because of the adjacent motor cortex and concerns of permanent neurological damage. Patient was treated with navigated ventricular-peritoneal shunt with a programmable valve. Interestingly there was an improvement of spasticity and weakness.
VL  - 3
IS  - 1
ER  -

Copy | Download