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Updated: Dec 4, 2025
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Disfiguring high-flow cervicofacial arteriovenous malformations.
Alaa Nabawi1, Nader Abraham1, Ayman Nabawi1
1Department of Surgery, University of Alexandria School of Medicine, Alexandria, Egypt.
Journal of Surgical Case Reports
|October 26, 2020
Summary
Arteriovenous malformations (AVMs) are rare congenital vascular defects often missed at birth. These challenging anomalies, frequently in the head and neck, pose significant risks and have a high recurrence rate.
Area of Science:
- Vascular Surgery
- Congenital Anomalies
- Angiogenesis Research
Background:
- Arteriovenous malformations (AVMs) are congenital vascular anomalies stemming from defective angiogenesis.
- They represent 1.5% of all vascular anomalies, with 40% presenting symptoms in adulthood.
Observation:
- The oral cavity and maxillofacial region are the most common sites for AVMs, accounting for 50% of cases.
- AVMs are particularly challenging and life-threatening, with significant operative risks including exsanguination and embolization.
Findings:
- A high recurrence rate of 75% is observed during 5-year follow-up, complicating management.
- Large head and neck AVMs cause cosmetic deformities and surgical challenges due to proximity to vital structures.
Implications:
- Effective management strategies are crucial for improving patient outcomes and reducing morbidity.
- Further research into AVM pathogenesis and treatment is warranted to address recurrence and surgical complexities.
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