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Updated: Jan 31, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Massive Arteriovenous Malformation with Stroke-Like Presentation

Mathias Bürki1, Liliane Kappeler2, Robert Bühler2

  • 1Intensive Care Unit, Department of Anaesthesiology, Bürgerspital Solothurn, Solothurn, Switzerland.

Case Reports in Neurology
|January 11, 2019
PubMed

Insights

A massive arteriovenous malformation (AVM) can mimic stroke symptoms in older adults. Prompt brain imaging like MRI or CT angiography is crucial for diagnosing AVM in stroke-like presentations.

Area of Science:

  • Neurology
  • Radiology
  • Neurosurgery

Background:

  • Stroke is a common neurological emergency, particularly in older individuals.
  • Cerebral arteriovenous malformations (AVMs) are rare vascular anomalies that can present with diverse neurological symptoms.

Observation:

  • A 75-year-old patient presented with symptoms suggestive of an acute stroke.
  • Cerebral imaging revealed a massive arteriovenous malformation (AVM) involving the entire left hemisphere.

Findings:

  • The patient's stroke-like presentation was attributed to a large arteriovenous malformation (AVM).
  • This case highlights the potential for AVMs to manifest as acute cerebrovascular events.

Implications:

  • Arteriovenous malformations (AVMs) should be considered in the differential diagnosis of acute stroke presentations, regardless of patient age.
  • Brain MRI or CT angiography is recommended for prompt diagnosis of AVM in such cases, provided no contraindications exist.
Keywords:
AgeArteriovenous malformationStroke mimics

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