De novo arteriovenous malformation in a 4 year-old boy with headache

Abstract

s / International Journal of Surgery 23 (2015) S15eS134 S77 Conclusion: Patient safety in theatre is of the upmost importance, especially in high risk procedures such as those found in neurosurgery. Simple interventions can be relatively inexpensive, quick to implement and can make a significant difference to patient safety. 0071: DE NOVO ARTERIOVENOUS MALFORMATION IN A 4 YEAR-OLD BOY WITH HEADACHE M. Hollingworth. Great Western Hospital, UK Aim: Arteriovenous malformations (AVM) have traditionally been thought of as congenital lesions but this model of pathogenesis does not account for those patients in which the AVM appears to have arisen de novo. Methods: We describe the case of a 4 year-old boy who presented with headache; subsequent imaging demonstrated a Spetzler-Martin grade 3 AVM within the left superior temporal gyrus. However, this patient had previously undergone magnetic resonance brain imaging for investigation of seizures during the neonatal period, which demonstrated normal structural appearance. Conclusion: We present a case of de novo AVM in a child without preexisting cerebrovascular disease and discuss it in the context of recent advances in the understanding of AVMs. 0233: MANAGEMENT OF HEAD INJURIES PRESENTING TO A DISTRICT GENERAL HOSPITAL: COMPLIANCE WITH THE 2014 NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE (NICE) GUIDELINES L. Bond, A. Amer, R. Brown. Daisy Hill Hospital, UK Aim: A significant proportion of patients admitted with head injury suffer long term psychological and/or physical deficits. We aim to investigate our practice in managing head injuries at a district general hospital in accordance with the 2014 NICE guidelines. Methods: We prospectively investigated patients that were admitted to hospital with head injuries over a 6-week period in 2014. We collected demographics and data relating to the timescale between presentation and assessment/imaging. Results: Twenty patients were admitted over the study period. Of these, 50% were male. The most prevalent age group was above 80 years making up 50% of the total head injury admissions. Only 30% of these cases were clinically assessed within 15 minutes of presentation to A&E. In addition, only 45% of cases underwent CT imaging of the head within the recommended time. Cervical spine imaging was performed in all patients in whom this was required. However, this was performed within the recommended timeframe in only 15% of cases. Conclusion: Compliance with NICE guidance for head injuries within our hospital was suboptimal. Lack of knowledge about the recent guidelines may have contributed to these findings. Raising staff awareness in this regard will likely improve our management of head injuries. 0393: PRIMARY RESECTION OF MALIGNANT INTRACRANIAL NEOPLASMS CONVEYS A FUNCTIONAL BENEFIT IN A SELECT PATIENT COHORT J. Glasbey, C. Hayhurst. Department of Neurosurgery, University Hospital of