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Updated: Apr 18, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Multiple intracranial arteriovenous malformation]
Miguel Gelabert-González1, José María Santin-Amo1, Paula Román-Pena1
1Servicio de Neurocirugía, Hospital Clínico Universitario de Santiago de Compostela, Departamento de Cirugía, Universidad de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
Abstract:
Multiple cerebral arteriovenous malformations (AVMs) are thought to be exceedingly rare lesions and have usually been reported as single cases. The incidence of multiple cerebral AVMs in major series ranges from 0.3% to 9% and, in the majority of cases, these malformations are associated with other vascular anomalies of the brain or soft tissues. We report a 62-year-old woman that presented with a left temporal haemorrhage. Angiography showed 3 AVMs located in the left temporal lobe, left cerebellar hemisphere and right temporal lobe. The lesions were treated with radiosurgery.
Insights
Multiple cerebral arteriovenous malformations (AVMs) are rare, often linked to other vascular issues. This case highlights three distinct AVMs in one patient, successfully treated with radiosurgery.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Multiple cerebral arteriovenous malformations (AVMs) are considered rare neurological lesions.
- Existing literature suggests an incidence of 0.3% to 9% in major series.
- These malformations are frequently associated with other cerebral or soft tissue vascular anomalies.
Observation:
- A 62-year-old female patient presented with a left temporal hemorrhage.
- Diagnostic angiography revealed three distinct AVMs.
- The AVMs were located in the left temporal lobe, left cerebellar hemisphere, and right temporal lobe.
Findings:
- The patient had three separate cerebral arteriovenous malformations.
- The identified AVMs were situated in different brain regions: left temporal, left cerebellar, and right temporal lobes.
- The case demonstrates a rare presentation of multiple AVMs.
Implications:
- This case contributes to the understanding of the incidence and presentation of multiple cerebral AVMs.
- Radiosurgery is presented as a viable treatment option for multiple AVMs.
- Further research may elucidate the underlying mechanisms and genetic factors contributing to multiple AVM formation.
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