Obstructive hydrocephalus due to unruptured brain arteriovenous malformation

demonstrating transcranial color duplex confirmation of cerebral venous hemodynamic alterations and color duplex ultrasound confirmation of shunt patency

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Abstract

Given the rarity of arteriovenous malformations of the brain (bAVMs) with concomitant obstructive hydrocephalus, few papers have commented on the resultant hydrodynamic perturbations. To date, no study has specifically investigated the effect of ventricular shunting on intracranial venous parameters as measured by transcranial color duplex ultrasound (TCCD). This study investigates whether TCCD and color duplex ultrasound are useful modalities to elucidate the physiological and hemodynamic changes in a patient with bAVM following ventricular shunting. Using TCCD, this study demonstrates that preoperatively, there is a decrease in cerebral capacitance, manifesting in a decrease in cerebral inflow and reduced venous outflow. Following shunt insertion, intracranial compliance is increased, resulting in the dilatation of previously compressed capacitance vessels and restoration of venous compliance. Color duplex ultrasound (CDU) was a useful determinant of shunt patency in the neck. We report the first TCCD assessment of hemodynamic changes of the intracranial circulation in a patient with bAVM following ventricular-peritoneal shunting. The results lend conceptual support of a pressure gradient change with high pressure that occurs in the veins as compared to the subarachnoid space.

Original languageEnglish
Article numbere6181
Pages (from-to)1-13
Number of pages13
JournalCureus
Volume11
Issue number11
DOIs
Publication statusPublished - 18 Nov 2019

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Bibliographical note

Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.
This article contains corrections, the details of which can be found in Cureus(2020) Vol.12(1) at doi: 10.7759/cureus.c26

Keywords

  • transcranial color duplex
  • brain
  • arteriovenous malformation
  • venous
  • obstructive hydrocephalus
  • doppler

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