{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:24:03Z","timestamp":1787844243938,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>We present the case of a 16-week pregnant 19-year-old female who presented with hemiplegia due to a ruptured right frontal pial arteriovenous fistula (PAVF). She was also found to have an unruptured right temporal PAVF and a family history of brain hemorrhage. The patient was managed with Onyx embolization of the ruptured fistula, followed by surgical excision and hematoma evacuation. At 35 weeks gestation, she underwent cesarean section to prevent rupture of the second fistula in the setting of peripartum hypervolemia and increasing headaches. The child was delivered healthy. Subsequently, the right temporal AV fistula, supplied by a middle cerebral artery and posterior cerebral artery branch, underwent staged embolization resulting in complete occlusion. The patient recovered to a modified Rankin score of two, with a left foot drop as only persistent significant motor deficit.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/bc.bc_37_20","type":"journal-article","created":{"date-parts":[[2021,5,29]],"date-time":"2021-05-29T04:49:25Z","timestamp":1622263765000},"page":"124-127","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Management of a ruptured and unruptured pial arteriovenous fistula during and after pregnancy"],"prefix":"10.4103","volume":"7","author":[{"given":"Clayton H.","family":"Gerndt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan J.","family":"Goodrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh","family":"Ramanathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian C.","family":"Dahlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Waldau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-10-20240830","doi-asserted-by":"crossref","first-page":"851","DOI":"10.3174\/ajnr.A1436","article-title":"Endovascular treatment of brain arteriovenous fistulas","volume":"30","author":"Lv","year":"2009","journal-title":"AJNR Am J Neuroradiol"},{"key":"R2-10-20240830","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1080\/0144361031000153684","article-title":"Arteriovenous malformations of the cerebral circulation that rupture in 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Pract"},{"key":"R6-10-20240830","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1212\/WNL.0000000000000436","article-title":"Risk of cerebral arteriovenous malformation rupture during pregnancy and puerperium","volume":"82","author":"Liu","year":"2014","journal-title":"Neurology"},{"key":"R7-10-20240830","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1227\/00006123-199012000-00002","article-title":"Pregnancy and the risk of hemorrhage from cerebral arteriovenous malformations","volume":"27","author":"Horton","year":"1990","journal-title":"Neurosurgery"},{"key":"R8-10-20240830","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1161\/STROKEAHA.117.016828","article-title":"Hemorrhage risk of brain arteriovenous malformations during pregnancy and puerperium in a North American Cohort","volume":"48","author":"Porras","year":"2017","journal-title":"Stroke"},{"key":"R9-10-20240830","doi-asserted-by":"crossref","first-page":"e308","DOI":"10.1016\/j.wneu.2017.12.056","article-title":"Rupture risk of cerebral arteriovenous malformations during pregnancy and puerperium: A single-center experience and pooled data analysis","volume":"111","author":"Zhu","year":"2018","journal-title":"World Neurosurg"},{"key":"R10-10-20240830","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1227\/NEU.0b013e318256c34b","article-title":"Hemorrhage from arteriovenous malformations during pregnancy","volume":"71","author":"Gross","year":"2012","journal-title":"Neurosurg"}],"container-title":["Brain Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/bc.bc_37_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:15:53Z","timestamp":1787843753000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/bc.bc_37_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/bc.bc_37_20","relation":{},"ISSN":["2394-8108"],"issn-type":[{"value":"2394-8108","type":"print"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}