Cerebral arteriovenous malformation

Case contributed by Dr Heba Abdelmonem

Presentation

Recurrent fainting attacks with headcahe.

Patient Data

Age: 35 years
Gender: Male

Diffuse nidus of malformed flow voids with serpiginous appearance (bag of worms) involving the left temporal and parietal lobes resulting in 6 mm of midline shift.

The arterial supply derived from a dilated left middle cerebral artery and venous drainage is to cortical veins, internal cerebral vein and superior sagittal sinus.

No hemorrhage. Atrophy of the left temporal lobe with a dilated left temporal horn. No abnormal vascular malformation of the soft tissues of the skull or face.

Case Discussion

These findings are in a known untreated parenchymal arteriovenous malformation.

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