Cerebral arteriovenous malformation

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Headaches and seizures. Past medical history of haemorrhagic stroke.

Patient Data

Age: 60 years
Gender: Female

Large nidus of malformed vessels measuring about 40 x 50 x 55 mm, with typical appearance of a "bag of worms", involving the left parieto-occipital region.

Left parieto-occipital encephalomalacia surrounded by gliosis at the site of malformed vessels, due to previous haemorrhagic stroke.

Arterial supply derived from left posterior communicating and posterior and middle cerebral arteries. Venous drainage to superior sagittal sinus and superficial cortical veins.

Case Discussion

Typical appearance of cerebral AVM.

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