Cerebellar Abscess Associated with Pulmonary Arteriovenous Fistula and Hereditary Hemorrhagic Telangiectasia —Case Report—

  • OGINO Masahiro
    Departments of Neurosurgery, School of Medicine, Keio University Department of Neurosurgery, Saiseikai Kanagawa-ken Hospital
  • INOUE Hiroshi
    Department of Neurosurgery, Tokyo Dental College Ichikawa Hospital
  • HARADA Shun-ichi
    Department of Neurosurgery, Saiseikai Kanagawa-ken Hospital
  • HORINOUCHI Hirohisa
    Departments of Surgery, School of Medicine, Keio University
  • NAKAMURA Tsuneo
    Department of Neurosurgery, Saiseikai Kanagawa-ken Hospital

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A 57-year-old male with a past history of bilateral pulmonary arteriovenous fistulas (PAVFs) experienced a sudden onset of headache and gait disturbance. There was a family history of PAVF and recurrent epistaxis. He had diffuse telangiectasia of the tongue, and hereditary hemorrhagic telangiectasia was diagnosed. Neuroimaging revealed a brain abscess in the right cerebellar hemisphere, which was successfully aspirated under ultrasound guidance. The PAVFs were resected afterwards in twostaged operation. No recurrence of the abscess has been observed. Cerebral abscesses complicated by PAVF are usually supratentorial. Complete eradication of PAVF is essential because the brain abscess will sometimes recur if the PAVF is left untreated.

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