CC BY-NC-ND 4.0 · Asian J Neurosurg 2012; 7(04): 210-213
DOI: 10.4103/1793-5482.106657

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

Venkatesh Madhugiri
Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry
Arivazhagan Arimappamagan
1   Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences, Bangalore
Bangalore Chandramouli
2   Department of Neurosurgery, Vikram Hospital, Bangalore
› Author Affiliations

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.

Publication History

Article published online:
27 September 2022

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