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Updated: Sep 11, 2025
14:58
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Arteriovenous Malformation With Intranidal Giant Aneurysm: A Case Report
Gilbert Paul B Distura1, Reynaldo Benedict V Villamor1
1Department of Neurosurgery, Vicente Sotto Memorial Medical Center, Cebu, PHL.
Cureus
|August 11, 2025
Summary
Coexisting brain arteriovenous malformations (AVMs) and intracranial aneurysms pose diagnostic challenges. Prompt surgical intervention for giant aneurysms associated with AVMs is crucial for preventing hemorrhage and improving patient outcomes.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Neurology
Background:
- Intracranial aneurysms and brain arteriovenous malformations (AVMs) can coexist, presenting complex diagnostic and management challenges.
- Intranidal aneurysms, specifically, increase the risk of bleeding and complicate treatment strategies.
Observation:
- A 45-year-old male presented with acute neurological deficits including right-sided weakness, aphasia, facial weakness, and severe headache.
- Diagnostic workup revealed the coexistence of a giant aneurysm within an AVM.
Findings:
- The patient's presentation was attributed to the complex vascular lesion involving both an AVM and an associated intranidal aneurysm.
- Timely surgical intervention was performed to address the giant aneurysm and associated AVM.
Implications:
- This case underscores the importance of early and accurate diagnosis of combined AVM-aneurysm lesions.
- Prompt surgical management of giant aneurysms associated with AVMs is critical for preventing catastrophic hemorrhage and improving neurological outcomes.
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