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Ischaemic stroke associated with pulmonary arteriovenous malformation

https://doi.org/10.30629/2658-7947-2022-27-4-27-36

Abstract

Pulmonary arteriovenous malformation (PAVM) is considered a rare cause of ischaemic stroke in young patients. In this article, we present a case series of 5 patients with PAVM-associated ischaemic stroke. We discuss pathophysiology, clinical presentation, diagnostic approaches, and secondary prevention. In addition, two of the aforementioned cases are provided in detail: the one of 32-year-old female with ischaemic stroke associated with sporadic PAVM, the latter being treated with embolization, and the one of 24-year-old male with hereditary hemorrhagic telangiectasia (HHT) who developed PAVM-associated ischaemic stroke, who was treated with intravenous thrombolytic therapy and mechanical thrombectomy on admission, followed by video-assisted thoracoscopic PAVM resection.

About the Authors

A. V. Belopasova
Research Center of Neurology
Russian Federation

Moscow



A. A. Kulesh
Perm State Medical University named after Academician E.A. Wagner; 4th City Clinical Hospital of Perm
Russian Federation

Perm



S. A. Mekhrykov
4th City Clinical Hospital of Perm
Russian Federation

Perm



L. I. Syromyatnikova
Perm State Medical University named after Academician E.A. Wagner; 4th City Clinical Hospital of Perm
Russian Federation

Perm



A. O. Chechetkin
Research Center of Neurology
Russian Federation

Moscow



A. R. Karshieva
Research Center of Neurology
Russian Federation

Moscow



L. A. Dobrynina
Research Center of Neurology
Russian Federation

Moscow



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For citations:


Belopasova A.V., Kulesh A.A., Mekhrykov S.A., Syromyatnikova L.I., Chechetkin A.O., Karshieva A.R., Dobrynina L.A. Ischaemic stroke associated with pulmonary arteriovenous malformation. Russian neurological journal. 2022;27(4):27-36. (In Russ.) https://doi.org/10.30629/2658-7947-2022-27-4-27-36

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