Treatment of arteriovenous malformations associated with ruptured intracranial aneurysm

Spontaneous subarachnoid hemorrhage (SAH) is a specific characteristic of aneurysmal rupture. SAH coexisting with arteriovenous malformations challenging to treat because the patient status at admission severe and therapeutic approach multidisciplinary: endovascular treatment, cerebral fluid drainage, decompressive craniectomy. We report clinical case successfully treated for cerebellar due ruptured aneurysm malformations. A 65-year-old woman was admitted Can Tho SIS General Hospital within six hours stroke onset. She experienced loss consciousness, aphasia, high blood pressure. Non-contrast computed tomography showed diffused in both cerebellum hemispheres, Sylvian fissure, intraventricular hemorrhage, non-communicating hydrocephalus. Her medical history included uncontrolled hypertension. The underwent multidisciplinary treatment hydrocephalus, edema, embolization control recurrent recovered well discharged on day 30 Modified Rankin Scale score 1.