Postoperative Hyperperfusion Associated With Steal Phenomenon Caused by a Small Arteriovenous Malformation

Ichiro NAKAGAWA, Shoichiro KAWAGUCHI, Junichi IIDA, Hidehiro HIRABAYASHI, Toshisuke SAKAKI
2005 Neurologia medico-chirurgica  
A 41-year-old woman presented with a small occipital arteriovenous malformation (AVM) manifesting as headache. Cerebral angiography showed an AVM in the right occipital lobe fed by the right temporooccipital artery and draining into the superior sagittal sinus and right transverse sinus. Single photon emission computed tomography showed the steal phenomenon in the ipsilateral temporal cortex fed by the main feeding artery preoperatively, and hyperperfusion in the same cortex after removal of
more » ... AVM. Postoperative systolic blood pressure was maintained between 100 and 120 mmHg to avoid disastrous hemorrhagic complications. Cerebral blood flow evaluation before and after surgery is important to avoid postoperative disastrous complications even in patients with small AVM.
doi:10.2176/nmc.45.363 pmid:16041183 fatcat:ufohz3yisvemzcy4u3lgmaeeqy