A case of cerebellar hemorrhage with cerebral developmental venous anomalies in young hemophilia A

• Uemura Jyunichi

  Department of Stroke Medicine, Kawasaki Medical School

• Matsubara Shunji

  Department of Neurosurgery, Kawasaki Medical School

• Uno Masaaki

  Department of Neurosurgery, Kawasaki Medical School

• Yagita Yoshiki

  Department of Stroke Medicine, Kawasaki Medical School

Bibliographic Information

Other Title

• 血友病例における脳静脈性血管奇形に伴う若年性小脳出血の1 例

Abstract

A 31-year-old man was admitted to our hospital with vertigo, staggering while walking, and vomiting. He had a history of hemophilia A and HIV infection. At admission, neurological examination showed horizontal nystagmus toward the left side. Factor VIII activity was reduced to 30% (control 50–200%). Brain computed tomography (CT) and magnetic resonance imaging (MRI) revealed hemorrhage in the left cerebellar nuclei. Cerebral angiography showed cerebral developmental venous anomalies (DVA) in the left cerebellum. The patient was diagnosed with intracerebral hemorrhage (ICH) with DVA, and hemophilia A might be related to ICH in this case. In general, ICH is a rare complication of DVA. However, the hemorrhagic tendency can increase the risk of ICH with DVA, even in young patients.

Journal

• Japanese Journal of Stroke

  Japanese Journal of Stroke 40 (1), 35-38, 2018

  The Japan Stroke Society

Keywords

• cerebellar hemorrhage
• cerebral developmental venous anomalies
• hemophilia A

Details

• CRID: 1390282679614836096
• NII Article ID: 130006320254
• DOI: 10.3995/jstroke.10509
• ISSN: 18831923
• ISSN: 09120726
• Web Site: https://www.jstage.jst.go.jp/article/jstroke/40/1/40_10509/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2018138030
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed