Longitudinal Recovery After Arteriovenous Malformation-Related Hemorrhagic Stroke with Multidisciplinary Rehabilitation
DOI:
https://doi.org/10.52340/GBMN.2026.01.01.171Keywords:
Arteriovenous malformation, Caregiver training, Georgia, Hemorrhagic stroke, Stroke rehabilitationAbstract
Recurrent hemorrhagic stroke caused by choroid plexus arteriovenous malformation (AVM) is exceptionally rare and frequently associated with severe neurological disability. We report a 22-year-old man in Georgia who developed recurrent intracerebral hemorrhage six years after prior Gamma Knife radiosurgery. Following emergency craniotomy and hematoma evacuation, he presented with right hemiparesis, dysarthria, dysphagia, cognitive impairment, and marked dependence in activities of daily living. A staged rehabilitation pathway included prolonged home-based therapy, structured multidisciplinary outpatient neurorehabilitation, and caregiver training. Functional status assessed by the Functional Independence Measure and Functional Assessment Measure (FIM+FAM) improved from 123 at rehabilitation initiation to 178 at follow-up. The patient regained substantial independence, resumed university studies, and successfully reintegrated into community life. This case demonstrates that meaningful long-term recovery after severe recurrent AVM-related stroke is achievable through timely surgery, coordinated multidisciplinary rehabilitation, and sustained family engagement, while highlighting the value of longitudinal functional outcome measurement in resource-limited healthcare systems.References
Department of Clinical Skills and Multidisciplinary Simulation, Tbilisi State Medical University, Tbilisi, Georgia
Department of Medical Rehabilitation and Sports Medicine, Tbilisi State Medical University, Tbilisi, Georgia
Ken Walker University Clinic for Rehabilitation Medicine, Tbilisi, Georgia
Department of Hygiene, Medical Ecology and Health Promotion, Tbilisi State Medical University, Tbilisi, Georgia
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