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Brain, Arteriovenous Malformation: Multimedia

Author: Robert A Koenigsberg, DO, MSc, FAOCR, Professor, Director of Neuroradiology, Program Director, Diagnostic Radiology and Neuroradiology Training Programs, Department of Radiology, Hahnemann University Hospital, Drexel University College of Medicine
Coauthor(s): Jeffrey R Wasserman, DO, Diagnostic Radiologist, Manatee Memorial Hospital and Lakewood Ranch Medical Center; Bernadette R Diegnan, Drexel University College of Medicine
Contributor Information and Disclosures

Updated: Dec 31, 2008

Multimedia

A CT scan of the head that demonstrates a left oc...Media file 1: A CT scan of the head that demonstrates a left occipital arteriovenous malformation (AVM), with multiple calcified phleboliths and numerous hyperattenuating vascular channels.
A CT scan of the head that demonstrates a left oc...

A CT scan of the head that demonstrates a left occipital arteriovenous malformation (AVM), with multiple calcified phleboliths and numerous hyperattenuating vascular channels.

Arteriovenous malformation (AVM) of the brain. An...Media file 2: Arteriovenous malformation (AVM) of the brain. An axial T2-weighted MRI showing numerous flow voids corresponding to the CT findings (not shown). Note the mass effect on the lateral ventricle despite the lack of a mass or hemorrhage.
Arteriovenous malformation (AVM) of the brain. An...

Arteriovenous malformation (AVM) of the brain. An axial T2-weighted MRI showing numerous flow voids corresponding to the CT findings (not shown). Note the mass effect on the lateral ventricle despite the lack of a mass or hemorrhage.

A sagittal T1-weighted MRI demonstrating a large ...Media file 3: A sagittal T1-weighted MRI demonstrating a large occipital arteriovenous malformation (AVM) with parasagittal flow voids.
A sagittal T1-weighted MRI demonstrating a large ...

A sagittal T1-weighted MRI demonstrating a large occipital arteriovenous malformation (AVM) with parasagittal flow voids.

A T2-weighted coronal MRI of an arteriovenous mal...Media file 4: A T2-weighted coronal MRI of an arteriovenous malformation (AVM) of the brain.
A T2-weighted coronal MRI of an arteriovenous mal...

A T2-weighted coronal MRI of an arteriovenous malformation (AVM) of the brain.

A diffusion-weighted MRI showing a lack of signal...Media file 5: A diffusion-weighted MRI showing a lack of signal intensity associated with an arteriovenous malformation (AVM).


A diffusion-weighted MRI showing a lack of signal...

A diffusion-weighted MRI showing a lack of signal intensity associated with an arteriovenous malformation (AVM).


A lateral left carotid angiogram demonstrating a ...Media file 6: A lateral left carotid angiogram demonstrating a mixed pial-dural arteriovenous malformation (AVM). Arterial and occipital arterial feeders extend to the nidus via distal branches of the middle cerebral artery.
A lateral left carotid angiogram demonstrating a ...

A lateral left carotid angiogram demonstrating a mixed pial-dural arteriovenous malformation (AVM). Arterial and occipital arterial feeders extend to the nidus via distal branches of the middle cerebral artery.

Arteriovenous malformation (AVM) of the brain. An...Media file 7: Arteriovenous malformation (AVM) of the brain. An anteroposterior right carotid angiogram showing left anterior cerebral artery supply secondary to vascular steal. Note that the left anterior cerebral artery does not opacify with an ipsilateral carotid injection of contrast material (see also Image 6).
Arteriovenous malformation (AVM) of the brain. An...

Arteriovenous malformation (AVM) of the brain. An anteroposterior right carotid angiogram showing left anterior cerebral artery supply secondary to vascular steal. Note that the left anterior cerebral artery does not opacify with an ipsilateral carotid injection of contrast material (see also Image 6).

Arteriovenous malformation (AVM) of the brain. A ...Media file 8: Arteriovenous malformation (AVM) of the brain. A lateral left vertebral angiogram demonstrating a huge left posterior cerebral artery feeder to the nidus.
Arteriovenous malformation (AVM) of the brain. A ...

Arteriovenous malformation (AVM) of the brain. A lateral left vertebral angiogram demonstrating a huge left posterior cerebral artery feeder to the nidus.

Arteriovenous malformation (AVM) of the brain. An...Media file 9: Arteriovenous malformation (AVM) of the brain. An anteroposterior left vertebral angiogram.
Arteriovenous malformation (AVM) of the brain. An...

Arteriovenous malformation (AVM) of the brain. An anteroposterior left vertebral angiogram.

Arteriovenous malformation (AVM) of the brain. Th...Media file 10: Arteriovenous malformation (AVM) of the brain. The venous phase of a vertebral angiogram that demonstrates numerous superficial and deep draining veins.
Arteriovenous malformation (AVM) of the brain. Th...

Arteriovenous malformation (AVM) of the brain. The venous phase of a vertebral angiogram that demonstrates numerous superficial and deep draining veins.

A sagittal T1-weighted MRI showing a small, right...Media file 11: A sagittal T1-weighted MRI showing a small, right parietal arteriovenous malformation (AVM) with superficial venous drainage.
A sagittal T1-weighted MRI showing a small, right...

A sagittal T1-weighted MRI showing a small, right parietal arteriovenous malformation (AVM) with superficial venous drainage.

Arteriovenous malformation (AVM) of the brain. A ...Media file 12: Arteriovenous malformation (AVM) of the brain. A T2-weighted axial MRI showing flow voids.
Arteriovenous malformation (AVM) of the brain. A ...

Arteriovenous malformation (AVM) of the brain. A T2-weighted axial MRI showing flow voids.

Arteriovenous malformation (AVM) of the brain. A ...Media file 13: Arteriovenous malformation (AVM) of the brain. A diagnostic angiogram obtained with a carotid injection that shows the distal anterior cerebral artery (pericallosal artery) feeder, with superficial venous drainage to the superior sagittal sinus.
Arteriovenous malformation (AVM) of the brain. A ...

Arteriovenous malformation (AVM) of the brain. A diagnostic angiogram obtained with a carotid injection that shows the distal anterior cerebral artery (pericallosal artery) feeder, with superficial venous drainage to the superior sagittal sinus.

Arteriovenous malformation (AVM) of the brain. A ...Media file 14: Arteriovenous malformation (AVM) of the brain. A vertebral-injection image showing the collateral arterial supply stemming from the distal posterior cerebral artery vessels.
Arteriovenous malformation (AVM) of the brain. A ...

Arteriovenous malformation (AVM) of the brain. A vertebral-injection image showing the collateral arterial supply stemming from the distal posterior cerebral artery vessels.

Arteriovenous malformation (AVM) of the brain. a ...Media file 15: Arteriovenous malformation (AVM) of the brain. a venous-phase image demonstrating large, superficial draining veins.
Arteriovenous malformation (AVM) of the brain. a ...

Arteriovenous malformation (AVM) of the brain. a venous-phase image demonstrating large, superficial draining veins.

Arteriovenous malformation (AVM) of the brain. A ...Media file 16: Arteriovenous malformation (AVM) of the brain. A CT scan of the posterior fossa demonstrating a hemorrhage in the fourth ventricle, with extension to the left cerebellum.
Arteriovenous malformation (AVM) of the brain. A ...

Arteriovenous malformation (AVM) of the brain. A CT scan of the posterior fossa demonstrating a hemorrhage in the fourth ventricle, with extension to the left cerebellum.

Arteriovenous malformation (AVM) of the brain. An...Media file 17: Arteriovenous malformation (AVM) of the brain. An axial T2-weighted MRI that shows abnormal vascular flow voids along the left cerebellar tentorium.
Arteriovenous malformation (AVM) of the brain. An...

Arteriovenous malformation (AVM) of the brain. An axial T2-weighted MRI that shows abnormal vascular flow voids along the left cerebellar tentorium.

Arteriovenous malformation (AVM) of the brain. A ...Media file 18: Arteriovenous malformation (AVM) of the brain. A left carotid angiogram that demonstrates feeders to the dural malformation via the posterior division of the middle meningeal artery and the occipital arteries.
Arteriovenous malformation (AVM) of the brain. A ...

Arteriovenous malformation (AVM) of the brain. A left carotid angiogram that demonstrates feeders to the dural malformation via the posterior division of the middle meningeal artery and the occipital arteries.

Arteriovenous malformation (AVM) of the brain. A ...Media file 19: Arteriovenous malformation (AVM) of the brain. A left vertebral angiogram demonstrating small dural arterial feeders via posterior meningeal arteries, which arise directly from the vertebral artery.
Arteriovenous malformation (AVM) of the brain. A ...

Arteriovenous malformation (AVM) of the brain. A left vertebral angiogram demonstrating small dural arterial feeders via posterior meningeal arteries, which arise directly from the vertebral artery.

Arteriovenous malformation (AVM) of the brain. A ...Media file 20: Arteriovenous malformation (AVM) of the brain. A venous-phase image demonstrating a venous aneurysm that projects inferiorly from the cerebellar tentorium; it is the presumed cause of the patient's hematoma.
Arteriovenous malformation (AVM) of the brain. A ...

Arteriovenous malformation (AVM) of the brain. A venous-phase image demonstrating a venous aneurysm that projects inferiorly from the cerebellar tentorium; it is the presumed cause of the patient's hematoma.

A lateral left carotid angiogram in a patient wit...Media file 21: A lateral left carotid angiogram in a patient with seizures and an unruptured left parasagittal arteriovenous malformation (AVM).
A lateral left carotid angiogram in a patient wit...

A lateral left carotid angiogram in a patient with seizures and an unruptured left parasagittal arteriovenous malformation (AVM).

A lateral left carotid angiogram obtained after a...Media file 22: A lateral left carotid angiogram obtained after a successful staged embolization with a liquid adhesive that shows lack of arterial venous shunting.
A lateral left carotid angiogram obtained after a...

A lateral left carotid angiogram obtained after a successful staged embolization with a liquid adhesive that shows lack of arterial venous shunting.

More on Brain, Arteriovenous Malformation

Overview: Brain, Arteriovenous Malformation
Imaging: Brain, Arteriovenous Malformation
Multimedia: Brain, Arteriovenous Malformation
References

References

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  2. Barrow DL. Intracranial Vascular Malformations. Park Ridge, Ill: American Association of Neurological Surgeons; 1990.

  3. Jafar JJ, Awad IA, Rosenwasser RH, eds. Vascular Malformations of the Central Nervous System. Philadelphia, Pa: Lippincott, Williams & Wilkins; 1999.

  4. Toole J, Murros K, Dindagur N. Cerebrovascular Disorders. 5th ed. Philadelphia, Pa: Lippincott-Raven; 1999.

  5. Yamada S, ed. Arteriovenous Malformations in Functional Areas of the Brain. Armonk, NY: Futura Publishing Company; 1999.

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  8. Tsutsumi M, Aikawa H, Kodama T, Iko M, Nii K, Matsubara S, et al. Symptomatic inferior cavernous sinus artery aneurysm associated with cerebral arteriovenous malformation. Neurol Med Chir (Tokyo). Jun 2008;48(6):257-8. [Medline].

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  17. Baum S. 1997. In: Abram's Angiography: Vascular and Interventional Radiology. Vol 1. Philadelphia, Pa: Lippincott-Raven.

  18. Baum S, Pentecost M, eds. Abram's Angiography: Interventional Radiology. Vol. 3. 4th ed. Boston, Mass: Little, Brown & Company; 1997.

  19. Connors JJ, Wojak JC. Interventional Neuroradiology. Philadelphia, Pa: WB Saunders Co; 1999.

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  21. Hadizadeh DR, von Falkenhausen M, Gieseke J, Meyer B, Urbach H, Hoogeveen R, et al. Cerebral arteriovenous malformation: Spetzler-Martin classification at subsecond-temporal-resolution four-dimensional MR angiography compared with that at DSA. Radiology. Jan 2008;246(1):205-13. [Medline].

  22. Codd PJ, Mitha AP, Ogilvy CS. A recurrent cerebral arteriovenous malformation in an adult. J Neurosurg. Sep 2008;109(3):486-91. [Medline].

Further Reading

Keywords

AVM, arteriovenous malformation, AV malformation, arteriovenous malformations, vascular malformation, AVM brain, arterial venous malformation, arteriovenous aneurysm, arteriovenous angioma, cerebrovascular malformations, pial AVMs, parenchymal AVMs, dural AVMs, vein-of-Galen aneurysm

Contributor Information and Disclosures

Author

Robert A Koenigsberg, DO, MSc, FAOCR, Professor, Director of Neuroradiology, Program Director, Diagnostic Radiology and Neuroradiology Training Programs, Department of Radiology, Hahnemann University Hospital, Drexel University College of Medicine
Robert A Koenigsberg, DO, MSc, FAOCR is a member of the following medical societies: American Osteopathic Association, American Society of Neuroradiology, Radiological Society of North America, and Society of NeuroInterventional Surgery
Disclosure: Nothing to disclose.

Coauthor(s)

Jeffrey R Wasserman, DO, Diagnostic Radiologist, Manatee Memorial Hospital and Lakewood Ranch Medical Center
Jeffrey R Wasserman, DO is a member of the following medical societies: American Medical Association
Disclosure: Nothing to disclose.

Bernadette R Diegnan, Drexel University College of Medicine
Disclosure: Nothing to disclose.

Medical Editor

Lucien M Levy, MD, PhD, Director of Neuroradiology, Professor of Radiology, Department of Radiology, George Washington University Medical Center
Lucien M Levy, MD, PhD is a member of the following medical societies: American Cancer Society, American College of Radiology, American Heart Association, American Medical Association, American Roentgen Ray Society, American Society of Neuroradiology, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

James G Smirniotopoulos, MD, Professor of Radiology, Neurology, and Biomedical Informatics, Chairman, Department of Radiology and Radiological Sciences, Uniformed Services University of the Health Sciences
James G Smirniotopoulos, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, American Society of Head and Neck Radiology, American Society of Neuroradiology, American Society of Pediatric Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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