Young-onset type 1 diabetes mellitus complicated by ruptured cerebral aneurysm and arteriovenous malformation: one case report.
Objective To report the diagnosis and treatment of a young patient with type 1 diabetes mellitus complicated by ruptured cerebral aneurysm and arteriovenous malformation (AVM), providing clinical strategies and management insights for handling critical and complex cerebrovascular diseases. Methods a...
| Publicado en: | Chinese Journal of Contemporary Neurology & Neurosurgery Vol. 26; no. 3; pp. 324 - 332 |
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| Autores principales: | , , , , , |
| Formato: | case study diagnostic images pictorial tables/charts Journal Article |
| Publicado: |
Chinese Journal of Contemporary Neurology & Neurosurgery
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193030418&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193030418 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16726731 FDQ6 jtl: Chinese Journal of Contemporary Neurology & Neurosurgery issn: 16726731 maglogo: N pubinfo: dt: Mar2026 vid: 26 iid: 3 pid: 80951 pub: Chinese Journal of Contemporary Neurology & Neurosurgery artinfo: ui: 193030418 193030418 193030418 10.3969/j.issn.1672-6731.2026.03.016 193030418 ppf: 324 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Young-onset type 1 diabetes mellitus complicated by ruptured cerebral aneurysm and arteriovenous malformation: one case report. aug: au: LU, Li-chun WANG, Chen YIN, Xiang-yi CHEN, Hua HUANG, Qiang ZHU, Wen-yu affil: Department of Neurosurgery, The Affiliated Suzhou Hospital of Nanjing University Medical School, Suzhou 215153, Jiangsu, China sug: subj: Diabetes Mellitus, Type 2 Complications Age of Onset Cerebral Aneurysm Diagnosis Arteriovenous Malformations Diagnosis Cerebral Aneurysm Surgery Female Young Adult Cerebral Hemorrhage Embolization, Therapeutic Hematoma Surgery Decompressive Craniectomy Endovascular Coil Embolization Female ab: Objective To report the diagnosis and treatment of a young patient with type 1 diabetes mellitus complicated by ruptured cerebral aneurysm and arteriovenous malformation (AVM), providing clinical strategies and management insights for handling critical and complex cerebrovascular diseases. Methods and Results A 19-year-old female with type 1 diabetes mellitus presented with acute intracerebral hemorrhage. Imaging revealed the hemorrhage was caused by rupture of multiple beaded aneurysms on a prominent lenticulostriate artery (LA) originating from the M1 segment of middle cerebral artery (MCA). This vascular pathology was accompanied by a caput medusae-like AVM (Spetzler-Martin grade IV) in the Sylvian fissure region. The neurosurgical team formulated and implemented a combined, staged therapeutic strategy. The first- stage procedure involved embolization of the lenticulostriate artery aneurysms, surgical evacuation of the hematoma, and decompressive craniectomy. This was followed by staged endovascular embolization of the AVM. Ultimately, curative embolization of all aneurysms and the AVM was successfully achieved while preserving the blood supply to normal brain tissue. Throughout the perioperative period, continuous glucose monitoring (CGM) was utilized to precisely titrate insulin dosage and maintain strict glycemic control. Conclusions For such rare cerebrovascular lesions characterized by complex anatomy and high-risk hemodynamics, a personalized, staged comprehensive strategy is crucial for achieving complete occlusion of the lesions while maximally preserving neurological function. The successful management of this case provides a referable multidisciplinary collaborative framework and clinical decision-making rationale for handling similar critical and complex cerebrovascular diseases. pubtype: Academic Journal doctype: case study diagnostic images pictorial tables/charts Journal Article ougenre: Article language: Chinese refInfo: holdings: @attributes: islocal: N |
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