신생아에서 뇌출혈을 동반한 선천성 두개내 동정맥 기형 1례

A Case of Cerebral Hemorrhage with Congenital Arterio-Venous Malformation in a Newborn

저자들은 39주 4일로 정상 질식분만한 만삭에서 특별한 신경학적 증세 없이 대천문이 넓고 팽대되어 있는 환아를 방사선과적 검사 후, 좌측두엽근처 두개내 출혈, 동정맥 기형 진단하에 제거 수술을 시행한 선천성 두개내 동정맥 기형 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Arteriovenous malformation(AVM) is the rare cause of neonatal intracranial hemorrhage. It is a congenital vascular lesion that can arising anywhere in the body. We report here on an unusual case of AVM in a full-term newborn infant who has no symptoms except enlarged bulging anterior fontanelle. AVM of other organs or adult cases were reported occasionally, but postoperative surviving intracranial AVM in a newborn infant has not been reported in Korea so far. The hematoma which was in the cortex of left temporal area, was removed surgically and the baby is living well under regular neurological check up.