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 serpigenous appearance (bag of worms) involving the left temporal and parietal lobes resulting in 6 mm of contralateral shift of the midline. An arterial supply derived from a dilated left middle cerebral artery and a venous drainage into the cortical veins, internal cerebral vein and superior sagittal sinus. No hemorrhage. Subsequent atrophy of the left temporal lobe with a dilated left temporal horn is demonstrated. No abnormal vascular malformation of the soft tissues of the skull and face.

Case Discussion

These findings are in a known untreated parenchymal arteriovenous malformation.

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Case information

rID: 63383
Published: 30th Sep 2018
Last edited: 3rd Oct 2018
Inclusion in quiz mode: Included
Institution: Zagazig University Hospital

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