We report a rare case of a patient with a pial arteriovenous malformation (AVM) who presented in altered sensorium. He was found to have large epidural and subdural hematomas overlying a pial AVM. He underwent evacuation of these hematomas and postop computed tomography showed infarcts deep to the site of hematoma evacuation. These infarcts were postulated to be due to a steal phenomenon combined with raised intracranial pressure. The management and possible mechanisms for this rare combination are discussed.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613645 | PMC |
| http://dx.doi.org/10.4103/1793-5482.106657 | DOI Listing |
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