Progression of cerebellar chronic encapsulated expanding hematoma during late pregnancy after gamma knife radiosurgery for arteriovenous malformation.
Progression of cerebellar chronic encapsulated expanding hematoma during late pregnancy after gamma knife radiosurgery for arteriovenous malformation.
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DOI：
10.4103/2152-7806.148054
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发表时间：
2014
影响因子：
--
通讯作者：
Ishiuchi S
中科院分区：
文献类型：
--
作者：
Watanabe T;Nagamine H;Ishiuchi S
伽玛刀治疗动静脉畸形（AVM）后妊娠期间慢性包裹性血肿的病因和适当的治疗策略仍不清楚。一名34岁女性在妊娠晚期发生慢性包裹性扩张性血肿，在接受两个疗程的伽玛刀放射外科手术后，小脑AVM血管造影消失。本病例提示妊娠是慢性包裹性扩张性血肿生长和扩大的潜在促进因素，可能危及生命，需要手术干预。分娩后立即手术治疗可能与良好的结局相关，因此密切的随访管理和患者教育对计划怀孕的妇女非常重要。
The etiology and appropriate management strategy of chronic encapsulated expanding hematoma during pregnancy after gamma knife radiosurgery for arteriovenous malformation (AVM) remain unclear. A 34-year-old female developed chronic encapsulated expanding hematoma during late pregnancy, after angiographic disappearance of cerebellar AVM following two courses of gamma knife radiosurgery. The present case implicates pregnancy as a potential promoter of growth and enlargement of chronic encapsulated expanding hematoma, which may become life-threatening and require surgical intervention. Immediate surgical management after delivery may be associated with a favorable outcome, so close follow-up management and patient education are very important in women planning pregnancy.