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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta un caso de hematoma subdural agudo producido por una malformaci&#243;n arteriovenosa occipital paramedial&#46; La presentaci&#243;n cl&#237;nica inicial fue sugestiva de rotura de aneurisma carotideo&#46; Sin embargo&#44; la tomograf&#237;a axial computarizada demostr&#243; la presencia del hematoma subdural y de la malformaci&#243;n vascular causante&#46; Se comentan la rareza de este modo de presentaci&#243;n cl&#237;nica y los mecanismos de formaci&#243;n de un hematoma subdural a partir de una malformaci&#243;n vascular sangrante&#46;</p>"
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Journal Information
Vol. 2. Issue 2.
Pages 121-124 (January 1991)
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Vol. 2. Issue 2.
Pages 121-124 (January 1991)
Malformación arteriovenosa occipital manifestada por hematoma subdural agudo de la convexidad hemisférica
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R.D. Lobato, M. Castañeda, J. Ortega, J. Domínguez
Servicio de Neurocirugía. Hospital 12 de Octubre. Madrid
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Resumen

Se presenta un caso de hematoma subdural agudo producido por una malformación arteriovenosa occipital paramedial. La presentación clínica inicial fue sugestiva de rotura de aneurisma carotideo. Sin embargo, la tomografía axial computarizada demostró la presencia del hematoma subdural y de la malformación vascular causante. Se comentan la rareza de este modo de presentación clínica y los mecanismos de formación de un hematoma subdural a partir de una malformación vascular sangrante.

Palabras clave:
Malformación arteriovenosa
Hematoma subdural
Hemorragia
Angiografía cerebral
Tomografía axial computarizada
Summary

A case of large subdural hematoma of the cerebral convexity caused by a paramedian occipital arteriovenous malformation (AVM) is described. The initial clinical presentation was suggestive of a ruptured saccular aneurysm of the internal carotid artery but computed tomography revealed both the subdural hematoma and an occipital intraparenchymal hematoma caused by the ruptured AVM. The rarity and the mechanisms of formation of subdural hematoma from AVMs are discussed.

Key words:
AV malformation
Subdural hematoma
Hemorrhage
Cerebral angiography
Computed tomography

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