J Korean Radiol Soc.  1985 Aug;21(4):537-543. 10.3348/jkrs.1985.21.4.537.

Radiological observation of arteriovenous malformation of brain

• Son SY
• Kim JG
• Bae KS
• Lee HK
• Kwon KH
• Kim KJ

• KMID: 2462429
• DOI: http://doi.org/10.3348/jkrs.1985.21.4.537

Abstract

In arteriovenous malformation, cerebral angiography is the last and conclusive method of diagnosis, althoughCT has been helpful for determination of the location and extension of the lesion. We reviewed cerebralangiography combined with CT of 30 cases of AVM who were suspected clinically during the period from Jan. 1979 toDec. 1983 in SCH hospital. The results were as follows: 1. The sex distribution of cases were 17 males and 13females(1.3:1) and 60% of cases were between first and second decade. Common symptoms were headache, vomiting andseizure. 2. In CSF finding, subarachnoid hemorrhage were noted in 9 cases (6%). 3. Only 1 case showedcalcification in simple skull series and the others were normal. 4. The locations were parietal area(46%), frontalarea (21%), temporal area(11%) and left side was more common than the right side(62%). 5. The feeding arterieswere MCA(32%), ACA(32%), PCA(7%) and the draining veins were superior cortical vein (32%), inferior sagittalsinus(12%), vein of Galen(12%) and internal cerebral vein (12%). Multiple feeding arteries were noted in one case.6. The sizes were between 1-2cm were 12 cases(41%), below 1cm were 7 cases(20%), between 3-4cm were 5 cases(16%),and above 4cm were 3 cases(13%). 7. CT was done in 26 cases. Among these, 4 cases(15%) showed serpentineous mixeddensity with marked enhancement and remainders showed intracerebral, intraventricular and subarachnoid hemorrhage,ischemic change, mass effect and hydrocephalus. 8. Conservative therapy was done in 12 cases, total removal ofanomalous vessels in 14 cases, clipping in 2 cases and radiation therapy in one case.

MeSH Terms

Angiography
Arteries
Arteriovenous Malformations*
Brain*
Cerebral Veins
Diagnosis
Headache
Humans
Hydrocephalus
Intracranial Arteriovenous Malformations
Male
Methods
Rabeprazole
Sex Distribution
Skull
Subarachnoid Hemorrhage
Veins
Vomiting