Case Report: “Damage control” in obstetric neurosurgery: staged management of ruptured arteriovenous malformation with herniation - Takeaways - MDSpire

Case Report: “Damage control” in obstetric neurosurgery: staged management of ruptured arteriovenous malformation with herniation

  • By

  • Qunlong Jiang

  • Xiaoli Liu

  • Zhiwei Zhang

  • Xiaokui Kang

  • May 8, 2026

  • 0 min

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  • 1

    A staged 'damage control' strategy was employed for a 27-year-old pregnant woman with a ruptured AVM and acute herniation.

  • 2

    Emergency decompressive craniectomy was performed to reverse impending herniation before definitive vascular treatment.

  • 3

    The patient achieved full neurological recovery and delivered a healthy infant after a successful term pregnancy.

  • 4

    Postpartum angiography revealed a Spetzler–Martin Grade II AVM, which was treated with embolization two months after delivery.

  • 5

    This case highlights the importance of separating acute decompression from vascular treatment in obstetric neurosurgery.

Original Source(s)

Case Report: “Damage control” in obstetric neurosurgery: staged management of ruptured arteriovenous malformation with herniation

  • by Qunlong Jiang, Xiaoli Liu, Zhiwei Zhang, Xiaokui Kang

  • May 8, 2026

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