Large diffuse arteriovenous malformation affecting the right cerebral and cerebellar hemispheres: case report

A cerebral vascular malformation was triggered in a 24-year-old man by left hemiparesis resembling transient ischemic attack. Cerebral angiography revealed slight dilation of the right anterior cerebral artery, middle cerebral artery, superior cerebellar artery, and posterior inferior cerebellar artery, as well as marked capillary blush and dilation of medullary veins involving the right cerebral hemisphere, especially the frontal lobe and cerebellar hemispheres. This vascular malformation, a clinical rarity, seemed to be in the same family as diffuse arteriovenous malformation or "medullary venous malformation." Single photon emission computed tomography showed a decline in cerebral blood flow in the right cerebral hemisphere, which was the probable cause of the left hemiparesis.