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Updated: Jun 11, 2025
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Multiple AVM with separate nidi, a case report and review the literatures
Morteza Taheri1, Aryoobarzan Rahmatian2, Parisa Javadnia1
1Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran.
Abstract:
Multiple arteriovenous malformations (AVMs) are uncommon, accounting for only 0.3-3.2% of all AVM cases. These AVMs are often found in syndromic pediatrics of HHT and WMS. Consideration of the patient's condition, the angioarchitecture of each AVM, and the hemodynamic connection of AVMs is crucial in determining the optimal therapeutic approach. However, the optimal therapeutic decision-making for these complex vascular lesions can be challenging due to the scarcity of their reports and their long-term follow-up. In this report, we present the case of a young man who presented with a headache, and DSA shows three left parietal AVMs, each with a separate nidus, feeder artery, and draining vein.
Insights
Multiple arteriovenous malformations (AVMs) are rare vascular lesions. This case report details a young patient with three distinct left parietal AVMs, highlighting diagnostic and therapeutic challenges.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Multiple arteriovenous malformations (AVMs) are rare, comprising 0.3-3.2% of all AVM cases.
- These complex vascular lesions are frequently associated with pediatric syndromes like Hereditary Hemorrhagic Telangiectasia (HHT) and Williams-Beuren Syndrome (WMS).
- Optimal therapeutic strategies for multiple AVMs are challenging due to limited case reports and long-term follow-up data.
