Cerebral arteriovenous malformation - ruptured

Case contributed by Dr Ian Bickle


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 hemorrhage.

Left MCA and PCA feeder arteries.

Draining vein into superior sagittal sinus.

Early hydrocephalus.

Incidental basilar tip aneuerysm. 

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 hemorrhage.

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
Published: 31st May 2014
Last edited: 14th Aug 2019
Tag: avm
Inclusion in quiz mode: Included