Cerebral arteriovenous malformation

Case contributed by Stefan Ludwig
Diagnosis certain

Presentation

Acute onset of severe headache.

Patient Data

Age: 50 years
Gender: Male

Cranial CT shows intracerebral hemorrhage in the right occipital lobe and extension of parenchymal bleeding into the ventricles.

CT angiogram

ct

An arteriovenous malformation (AVM) fed by the right posterior cerebral artery and is drained by a single vein into the superior sagittal sinus.

Case Discussion

When an intracranial hemorrhage is seen in an atypical demographic or location an underlying lesion (such as a cerebral vascular malformation or tumor) should be considered and further imaging is often required.

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