Intracerebral hemorrhage following endovascular embolization of brain arteriovenous malformation with a combination of Onyx and n-butyl cyanoacrylate: a case report

Clin Imaging. 2012 Jul-Aug;36(4):375-8. doi: 10.1016/j.clinimag.2011.09.003. Epub 2012 Jun 8.

Abstract

We report a 29-year-old female patient who developed intracerebral hemorrhage 16 h after endovascular embolization of a brain arteriovenous malformation with a combination of liquid embolic agents of Onyx and n-butyl cyanoacrylate. After emergent craniectomy with evacuation of the hematoma, the patient recovered consciousness with mild expressive aphasia. The possible etiology of postembolization brain hemorrhage was discussed, and the literature was reviewed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cerebral Angiography / methods
  • Cerebral Hemorrhage / etiology*
  • Cerebral Hemorrhage / surgery
  • Craniotomy / methods
  • Dimethyl Sulfoxide / adverse effects
  • Dimethyl Sulfoxide / therapeutic use*
  • Embolization, Therapeutic / adverse effects*
  • Embolization, Therapeutic / methods
  • Enbucrilate / adverse effects
  • Enbucrilate / therapeutic use*
  • Female
  • Follow-Up Studies
  • Humans
  • Intracranial Arteriovenous Malformations / diagnostic imaging
  • Intracranial Arteriovenous Malformations / therapy*
  • Magnetic Resonance Angiography
  • Monitoring, Physiologic / methods
  • Polyvinyls / adverse effects
  • Polyvinyls / therapeutic use*
  • Postoperative Care / methods
  • Risk Assessment
  • Time Factors

Substances

  • Onyx copolymer
  • Polyvinyls
  • Enbucrilate
  • Dimethyl Sulfoxide