Turkish Neurosurgery 2017 , Vol 27 , Num 5
Bilateral Thalamic Edema from Coexisting Choroid Plexus Arteriovenous Malformation and Sinus Thrombosis: Case Report
1Rush University, Medical Center, Department of Neurosurgery, Chicago, IL, USA
2Wellstar Medical Group, Department of Neurosurgery, Marietta, Georgia, USA
3Palmetto Health Neurosurgery Associates, Columbia, SC, USA
DOI : 10.5137/1019-5149.JTN.16613-15.2 Bilateral thalamic dysfunction secondary to venous congestion may result from either venous sinus thrombosis or high flow arteriovenous malformations or a combination of both. We present a case of bilateral thalamic edema resulting from concomitant choroid plexus arteriovenous malformation (AVM) and straight sinus thrombosis and describe our treatment approach. The patient presented with several weeks of progressive confusion and memory deficits. Magnetic resonance imaging and venography (MRI/ MRV) showed bilateral thalamic T2 hyperintensities and straight sinus thrombosis. Subsequent cerebral angiography revealed a choroid plexus AVM within the right lateral ventricle. The patient underwent surgical resection of the AVM resulting in postoperative resolution of bilateral thalamic edema on MRI and improvement of his confusion and memory deficits. This case demonstrates a rare example of reversible bilateral thalamic edema secondary to venous hypertension from both an AVM and sinus occlusion after appropriate treatment of the AVM. Keywords : Choroid plexus, Arteriovenous malformation, Sinus thrombosis, Thalamic edema
Corresponding author : Ryan B. KOCHANSKI, Ryan_B_Kochanski@rush.edu