Oct 1, 1985

Intraventricular hemorrhage in a term neonate secondary to a third ventricular AVM. Case report

Journal of Neurosurgery
M D HeafnerC Sorgen

Abstract

An initially healthy infant born of an uncomplicated full-term gestation was brought for evaluation of the acute onset of vomiting, irritability, lethargy, and opisthotonus at 14 days of age. Computerized tomography demonstrated an intraventricular hemorrhage. Arteriography defined an angioma on the roof of the third ventricle which was successfully removed via the transcallosal interfornicial approach on the 34th day of life. Other than an easily controlled seizure disorder, the postoperative course was uneventful. At 8 months of age the child is developing normally. Arteriovenous malformations should be considered in the differential diagnosis of intraventricular hemorrhage in full-term neonates without predisposing trauma or bleeding diathesis. High-speed digital subtraction arteriography may be used to screen for this diagnosis. The transcallosal interfornicial exposure offers a satisfactory approach for excising third ventricular angiomas in young infants.

  • References16
  • Citations10

Mentioned in this Paper

Epilepsy
Lethargy
Ventricular Hemorrhage
X-Ray Computed Tomography
Blood Coagulation Disorders
Differential Diagnosis
Vomiting
Cerebral Hemorrhage
Angioma
Cerebral Ventriculography

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