Skip to main content
Log in

Multiple cerebral arteriovenous malformations (AVMs)

Review of our experience from 203 patients with cerebral vascular lesions

  • Originals
  • Published:
Neuroradiology Aims and scope Submit manuscript

Summary

From our series of 203 patients with cerebral vascular lesions, 18 (9%) could be included in the multiple arteriovenous malformation category. There were five patients with Rendu-Osler-Weber, one with Wyburn-Mason syndromes and two with concurrent arteriovenous malformations. The remaining ten patients (4%) had multiple brain arteriovenous malformations. Careful angiography with magnification is necessary to try to diagnose multiple brain AVMs, since these sometimes become apparent only after embolization of a larger dominant AVM. The incidence, of multiple brain arteriovenous malformations is likely to have been underestimated due to the failure to recognize microarteriovenous malformations associated with larger arteriovenous malformations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Berenstein A (1981) Technique of catheterization and embolization of the lenticulostriate arteries. J Neurosurg 54:783–789

    Google Scholar 

  2. Hanieh A, Blumbergs PC, Carney PG (1981) Arteriovenous malformations associated with soft-tissue vascular malformations: case report. J Neurosurg 54:670–672

    Google Scholar 

  3. Reddy K, West M, McClarty B (1987) Multiple intracerebral arteriovenous malformations: a case report and a literature review. Surg Neurol 27:495–499

    Google Scholar 

  4. Schlacter LB, Fleischer AS, Faria MA, Tindall GT (1980) Multifocal intracranial arteriovenous malformations. Neurosurgery 7: 440–444

    Google Scholar 

  5. Stone JL, Crowell RM, Lisner BM, Naseen M, Oldershaw JB (1983) Bilateral parietal arteriovenous malformations: report of a case. Neurosurgery 5:587–592

    Google Scholar 

  6. Tada T, Sugita K, Kobayashi S, Watanabe N (1986) Supra and infratentorial arteriovenous malformations with an aneurysmal dilatation: a case report. Neurosurgery 5:831–834

    Google Scholar 

  7. Zellam RT, Buchheit WA (1985) Multiple intracranial arteriovenous malformations: case report. Neurosurgery 17:88–93

    Google Scholar 

  8. Hash CJ, Grossman CB, Shenkin HA (1975) Concurrent intracranial and spinal cord arteriovenous malformations: case report. J Neurosurg 43:104–107

    Google Scholar 

  9. Hoffman HJ, Mohn G, Kusunaki T (1976) Multiple arteriovenous malformations of spinal cord and brain in a child: case report. Child's Brain 2:317–324

    Google Scholar 

  10. Parkinson D, West M (1977) Spontaneous subarachnoid hemorrhage first from an intracranial and then from a spinal arteriovenous malformation: case report. J Neurosurg 47:965–968

    Google Scholar 

  11. Tamaki N, Fujita K, Yamashito H (1971) Multiple arteriovenous malformations involving the scalp, dura, retina, cerebrum and posterior fossa: case report. J Neurosurg 34:95–98

    Google Scholar 

  12. Theron J, Newton TH, Hoyt WF (1974) Unilateral retinocephalic vascular malformations. Neuroradiology 7:185–196

    Google Scholar 

  13. Wyburn-Mason R (1943) Arteriovenous aneurysm of mid brain and retina, facial naevi and mental changes. Brain 66:12–203

    Google Scholar 

  14. Smith ME, Barth PG, Valk SJ (1981) Congenital multiple angiomatosis with brain involvement. Childs Brain 8:461–467

    Google Scholar 

  15. Willinsky RA, Lasjaunias P, Comoy J, Pruvost P (1988) Cerebral micro-arteriovenous malformations (mAVMs): review of 13 cases. Acta Neurochir 91:37–41

    Google Scholar 

  16. Merland JJ, Djindjian R (1974) Manifestations cerebrales de la maladie de Rendu-Osler. J Neuroradiol 1:257–285

    Google Scholar 

  17. Picard L, Arnould G, Dureux JB, Tridon P, Weber M, Thiriet M, Floquet J (1968) Malformations vasculaires cerebrales et angiomatose de Rendu Osler. Rev. Neurol 11:230–235

    Google Scholar 

  18. Roman G, Fisher M, Perl DP, Poser CM (1978) Neurological manifestations of hereditary hemorrhagic telangiectasia (Rendu-Osler Weber disease). Report of 2 cases and review of the literature. Ann Neurol 4:130–144

    Google Scholar 

  19. Sobel D, Norman D (1984) CNS manifestations of hereditary hemorrhagic telangiectasia. AJNR 5:569–573

    Google Scholar 

  20. Aberfield DC, Rao KR (1981) Familial arteriovenous malformations of the brain. Neurology 31:184–186

    Google Scholar 

  21. Barre RG, Suter CG, Rosenblum WI (1978) Familial vascular malformation or chance occurrence: case report of two affected family members. Neurology 28:98–100

    Google Scholar 

  22. Boyd MC, Steinbok P, Paty DW (1985) Familial arteriovenous malformations. Report of four cases in one family. J Neurosurg 62:597–599

    Google Scholar 

  23. Snead OC III, Acker JD, Morawetz R (1979) Familial arteriovenous malformation. Ann Neurol 5:585–587

    Google Scholar 

  24. Chaudhary MY, Sachdev VO, Cho SH, Weitzner I, Puljic S, Huang YP (1982) Dural arteriovenous malformation of the major venous sinuses: an acquired lesion. AJNR 3:13–19

    Google Scholar 

  25. Houser OW, Campbell JK, Campbell RJ, Sundt TM (1979) Arteriovenous malformation affecting the transverse dural venous sinus — an acquired lesion. Mayo Clin Proc 54:651–661

    Google Scholar 

  26. Gabrielsen TO, Heinz ER (1969) Spontaneous aseptic thrombosis of the superior sagittal sinus and cerebral veins. AJR 107: 579–588

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Willinsky, R.A., Lasjaunias, P., Terbrugge, K. et al. Multiple cerebral arteriovenous malformations (AVMs). Neuroradiology 32, 207–210 (1990). https://doi.org/10.1007/BF00589113

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00589113

Key words

Navigation