Cerebral arteriovenous malformation - ruptured

Case contributed by Dr Ian Bickle

Presentation

Middle aged female with a short history of headache and lethargy. No medical history.

Patient Data

Age: 50
Gender: Female

Left parietal lobe focal calcification.

Acute intraventricular haemorrhage.

Left MCA and PCA feeder arteries.

Draining vein into superior sagittal sinus.

Early hydrocephalus.

Incidental basilar tip aneuerysm. 

Modality: DSA (angiography)

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 haemorrhage.

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.

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Case Information

rID: 28995
Case created: 26th Apr 2014
Last edited: 14th Mar 2016
Tag: avm
Inclusion in quiz mode: Included

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