Presentation
Middle aged female with a short history of headache and lethargy. No medical history.
Patient Data
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Left parietal lobe focal calcification.
Acute intraventricular hemorrhage.
Left MCA and PCA feeder arteries.
Draining vein into superior sagittal sinus.
Early hydrocephalus.
Incidental basilar tip aneuerysm.
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Posterior and middle cerebral feeder vessels into a large AVM.
Huge left parietal AVM is shown as a 'mesh' of serpigenous vessels
Case Discussion
This large cerebral AVM presented following intra-ventricular hemorrhage.
The gold standard catheter angiography, correlates well with the CT findings of feeder vessels from the posterior and middle cerebral arteries, with draining into the superior sagittal sinus.