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Multiple intracranial arteriovenous malformations: a case report

K Ericson1, M Söderman, B Karlsson

  • 1Department of Neuroradiology, Karolinska Hospital, Stockholm, Sweden.

Neuroradiology
|January 1, 1994
PubMed
Summary

A rare case of a child with seven cerebral arteriovenous malformations is presented. This finding expands the known spectrum of multiple arteriovenous malformations, with treatment guided by size and location.

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Area of Science:

  • Neurology
  • Radiology
  • Neurosurgery

Background:

  • Multiple intracranial arteriovenous malformations (AVMs) are exceptionally rare, with limited case reports documenting more than three AVMs in a single patient.
  • This study focuses on a unique pediatric case, contributing to the understanding of AVM prevalence and distribution.

Observation:

  • A child presented with seven distinct cerebral arteriovenous malformations, a number significantly exceeding previously reported cases.
  • Clinical history revealed febrile seizures but no prior hemorrhage.
  • Computed tomography (CT) and angiography confirmed the presence and extent of the multiple AVMs.

Findings:

  • Six of the seven AVMs were deemed suitable for stereotactic radiosurgery using a multi-cobalt unit.
  • The seventh AVM, larger in size, was identified as a candidate for surgical intervention.

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Implications:

  • This case highlights the potential for a higher number of intracranial AVMs than previously documented, expanding the clinical spectrum.
  • It underscores the importance of tailored treatment strategies, including stereotactic radiosurgery and surgical resection, based on individual AVM characteristics.
  • Further research into the etiology and management of extensive AVMs is warranted.