Embolización endovascular en hemorragia intraparenquimatosa temporo-occipital por fístula arteriovenosa. Reporte de caso

Abstract

Introduction: Cerebral arteriovenous malformations are an infrequent pathology, of which fistulous malformations are the least common; Surgical clinical management is not fully defined, so analyzing the efficacy of embolization in these patients constitutes an important scientific contribution for society. Presentation of the case: a 28-year-old male, with a headache of 10/10 on the visual pain scale, imaging studies were performed and an intraparenchymal hemorrhage was evidenced, in the computed tomography angiography it revealed a rupture of a cerebral arteriovenous malformation in the dependent occipital temporo region. from the middle cerebral artery; A complex endovascular embolization was performed, with favorable results in its evolution. Conclusion: Embolization as a treatment for hemorrhagic temporo-occipital arteriovenous malformation is a viable alternative in patients with stage IV on the Spetzler scale.