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Case Report


DOI :10.26650/IUITFD.1623147   IUP :10.26650/IUITFD.1623147    Full Text (PDF)

SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW

Duygu Dölen, Sefa Öztürk, Alperen Poyraz, Cafer İkbal Gülsever, Tuğrul Cem Ünal, İlyas Dolaş, Mehmet Barburoğlu, Pulat Akın Sabancı

Brain arteriovenous malformations (AVMs) are congenital vascular anomalies that can cause life-threatening haemorrhages. Spontaneous AVM thrombosis is extremely rare and is not fully understood. A 15-year-old female presented with severe headache and confusion. Computed tomography (CT) revealed intraventricular haemorrhage, leading to urgent external ventricular drainage (EVD). Digital subtraction angiography (DSA) confirmed an AVM located in the right caudate nucleus head, supplied by the lateral lenticulostriate artery and draining into the deep venous system. At the 2-month follow-up, DSA showed complete disappearance of the AVM. This case highlights the rare phenomenon of spontaneous AVM thrombosis, potentially influenced by haemorrhage, venous outflow obstruction, and EVD placement. While spontaneous resolution is possible, longterm imaging follow-up is essential due to the risk of delayed recanalization.

Keywords: Arteriovenous malformation, external ventricular drain, intraventricular haemorrhage, spontaneous thrombosis
DOI :10.26650/IUITFD.1623147   IUP :10.26650/IUITFD.1623147    Full Text (PDF)

EKSTERNAL VENTRİKÜLER DRENAJ SONRASI SPONTAN KAYBOLAN KAUDAT ÇEKİRDEK ARTERİOVENÖZ MALFORMASYONU: OLGU SUNUMU VE LİTERATÜR İNCELEMESİ

Duygu Dölen, Sefa Öztürk, Alperen Poyraz, Cafer İkbal Gülsever, Tuğrul Cem Ünal, İlyas Dolaş, Mehmet Barburoğlu, Pulat Akın Sabancı

Beyin arteriovenöz malformasyonları (AVM), yaşamı tehdit eden kanamalara yol açabilen konjenital vasküler anomalilerdir. AVM’lerin kendiliğinden tromboze olması son derece nadir görülen ve yeterince anlaşılamayan bir durumdur. On beş yaşında bir kız hasta, şiddetli baş ağrısı ve bilinç bulanıklığı ile acil servise başvurdu. Bilgisayarlı tomografi (BT), intraventriküler kanama gösterdi ve acil eksternal ventriküler drenaj (EVD) uygulandı. Dijital substraksiyon anjiyografi (DSA), sağ kaudat çekirdek başına yerleşmiş, lateral lentikülostriat arter tarafından beslenen ve derin venöz sisteme drene olan bir AVM saptadı. İki ay sonra yapılan kontrol DSA’da AVM’nin tamamen kaybolduğu gözlendi ve kendiliğinden tromboz geliştiği düşünüldü. Bu olgu, kanama, venöz drenaj tıkanıklığı ve EVD uygulamasının AVM trombozunu nasıl tetikleyebileceğini gösteren nadir bir örnektir. AVM’lerin kendiliğinden kaybolması mümkün olmakla birlikte, geç rekürrens riski nedeniyle uzun süreli görüntüleme takibi gereklidir.

Keywords: Arteriovenöz malformasyon, eksternal ventriküler drenaj, intraventriküler kanama, spontan tromboz

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Citations

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APA

Dölen, D., Öztürk, S., Poyraz, A., Gülsever, C.İ., Ünal, T.C., Dolaş, İ., Barburoğlu, M., & Sabancı, P.A. (2025). SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW. Journal of Istanbul Faculty of Medicine, 88(2), 172-175. https://doi.org/10.26650/IUITFD.1623147


AMA

Dölen D, Öztürk S, Poyraz A, Gülsever C İ, Ünal T C, Dolaş İ, Barburoğlu M, Sabancı P A. SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW. Journal of Istanbul Faculty of Medicine. 2025;88(2):172-175. https://doi.org/10.26650/IUITFD.1623147


ABNT

Dölen, D.; Öztürk, S.; Poyraz, A.; Gülsever, C.İ.; Ünal, T.C.; Dolaş, İ.; Barburoğlu, M.; Sabancı, P.A. SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 88, n. 2, p. 172-175, 2025.


Chicago: Author-Date Style

Dölen, Duygu, and Sefa Öztürk and Alperen Poyraz and Cafer İkbal Gülsever and Tuğrul Cem Ünal and İlyas Dolaş and Mehmet Barburoğlu and Pulat Akın Sabancı. 2025. “SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW.” Journal of Istanbul Faculty of Medicine 88, no. 2: 172-175. https://doi.org/10.26650/IUITFD.1623147


Chicago: Humanities Style

Dölen, Duygu, and Sefa Öztürk and Alperen Poyraz and Cafer İkbal Gülsever and Tuğrul Cem Ünal and İlyas Dolaş and Mehmet Barburoğlu and Pulat Akın Sabancı. “SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW.” Journal of Istanbul Faculty of Medicine 88, no. 2 (Jun. 2025): 172-175. https://doi.org/10.26650/IUITFD.1623147


Harvard: Australian Style

Dölen, D & Öztürk, S & Poyraz, A & Gülsever, Cİ & Ünal, TC & Dolaş, İ & Barburoğlu, M & Sabancı, PA 2025, 'SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW', Journal of Istanbul Faculty of Medicine, vol. 88, no. 2, pp. 172-175, viewed 26 Jun. 2025, https://doi.org/10.26650/IUITFD.1623147


Harvard: Author-Date Style

Dölen, D. and Öztürk, S. and Poyraz, A. and Gülsever, C.İ. and Ünal, T.C. and Dolaş, İ. and Barburoğlu, M. and Sabancı, P.A. (2025) ‘SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW’, Journal of Istanbul Faculty of Medicine, 88(2), pp. 172-175. https://doi.org/10.26650/IUITFD.1623147 (26 Jun. 2025).


MLA

Dölen, Duygu, and Sefa Öztürk and Alperen Poyraz and Cafer İkbal Gülsever and Tuğrul Cem Ünal and İlyas Dolaş and Mehmet Barburoğlu and Pulat Akın Sabancı. “SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW.” Journal of Istanbul Faculty of Medicine, vol. 88, no. 2, 2025, pp. 172-175. [Database Container], https://doi.org/10.26650/IUITFD.1623147


Vancouver

Dölen D, Öztürk S, Poyraz A, Gülsever Cİ, Ünal TC, Dolaş İ, Barburoğlu M, Sabancı PA. SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW. Journal of Istanbul Faculty of Medicine [Internet]. 26 Jun. 2025 [cited 26 Jun. 2025];88(2):172-175. Available from: https://doi.org/10.26650/IUITFD.1623147 doi: 10.26650/IUITFD.1623147


ISNAD

Dölen, Duygu - Öztürk, Sefa - Poyraz, Alperen - Gülsever, Caferİkbal - Ünal, TuğrulCem - Dolaş, İlyas - Barburoğlu, Mehmet - Sabancı, PulatAkın. “SPONTANEOUS DISAPPEARANCE OF A CAUDATE NUCLEUS ARTERIOVENOUS MALFORMATION FOLLOWING EXTERNAL VENTRICULAR DRAINAGE: A CASE REPORT AND LITERATURE REVIEW”. Journal of Istanbul Faculty of Medicine 88/2 (Jun. 2025): 172-175. https://doi.org/10.26650/IUITFD.1623147



TIMELINE


Submitted19.01.2025
Accepted08.03.2025
Published Online17.04.2025

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