XUẤT HUYẾT NÃO DO DỊ DẠNG MẠCH Ở TRẺ SƠ SINH – BÁO CÁO CA BỆNH

Abstract

Intracranial hemorrhage due to brain arteriovenous malformation rarely occurs in term neonates and may be missed because the clinical presentation is liked to intracranial hemorrhage from other causes. We reported a full-term neonate, who was admitted to the hospital because of seizures, lethargy, pale skin and she was initially diagnosed to have intracranial hemorrhage due to vitamin K deficiency. Test results showed high fibrinogen is not suitable for the cause of vitamin K deficiency, so it may be due to vascular malformation rupture. Cranial magnetic resonance imaging and digital subtraction angiography were taken and the results showed the right frontal arteriovenous malformation. Then the baby was successfully endovascular treatment. Therefore, although intracranial hemorrhage due to arteriovenous malformation rarely occurs in neonates, clinicians need to carefully examine and laboratory analysis to help diagnosis and have appropriate treatment.