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Updated: May 9, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Brainstem arteriovenous malformation presenting with dyspraxic handwriting in a young girl
Giangennaro Coppola1, Alessandra D'Amico2, Erica Pironti1
1Child and Adolescent Neuropsychiatry, Medical School, University of Salerno, Salerno, Italy.
Abstract:
We report the case of a 11-year-old girl who developed an isolated hand-writing disorder with dysgraphia at the beginning of the school year in the sixth grade. A brain magnetic resonance angiography showed a round arteriovenous malformation sited in the left side of the midbrain extending to the ipsilateral medio-basal thalamus. Child neurologists should never neglect a thorough neurological evaluation in case of isolated worsening of handwriting, to rule out possible underlying organic causes.
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