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Multiple cerebral arteriovenous malformations (AVMs) associated with spinal AVM.
S Hasegawa1, J I Hamada, M Morioka
1Department of Neurosurgery, Kumamoto University Medical School, Japan.
Acta Neurochirurgica
|April 24, 1999
Summary
Multiple cerebral arteriovenous malformations (AVMs) co-existing with a spinal AVM is exceptionally rare. This case report details a young man with multiple brain AVMs and a spinal AVM, highlighting a unique clinical presentation.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Cerebral arteriovenous malformations (AVMs) are complex vascular lesions.
- Spinal AVMs are rare vascular malformations affecting the spinal cord.
- The simultaneous occurrence of multiple cerebral AVMs and a spinal AVM is exceedingly uncommon.
Observation:
- A 22-year-old male presented with sudden severe headache and intracerebral hemorrhage.
- Cerebral angiography identified eight cerebral AVMs across multiple brain lobes.
- An incidental finding of a large, high-flow spinal AVM was noted.
- The patient had no signs of hereditary hemorrhagic telangiectasia or other systemic vascular anomalies.
Findings:
- Surgical removal of the ruptured left occipital cerebral AVMs was performed.
- The patient refused further treatment for the remaining AVMs.
- This represents the first reported living patient with multiple cerebral AVMs and a spinal AVM, excluding autopsy cases.
Implications:
- This case expands the understanding of rare AVM presentations.
- It underscores the importance of comprehensive vascular imaging in cases of multiple AVMs.
- Further research into the potential genetic or developmental links between multiple cerebral and spinal AVMs is warranted.