Anatomy of the feeding arteries of the cerebral arteriovenous malformations

Milatović, Biljana; Saponjski, Jovica; Huseinagić, Haris; Moranjkić, M; Medenica, Svetlana Milošević; Marinković, Ivan; Nikolić, Igor

doi:10.5603/fm.a2018.0016

Cited by 3 publications

(2 citation statements)

References 67 publications

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“…Milatov's et al study of the anatomy of the feeding artery in arteriovenous malformations found that only 10.39% came from the posterior cerebral artery. 9 Yisen Zhan's study on imaging characteristics of arteriovenous malformations in the brain divided the blood supply from the posterior cerebral arteries to the nidus area into type I where the blood supply involves the posterior choroidal artery which is proximal to the posterior cerebral artery and type II involving the temporal and occipital branches originating distal to the posterior cerebral artery. Both of these branches have the same prevalence to supply blood to the nidus area.…”

Section: Discussionmentioning

confidence: 99%

Primary intra-ventricular hemorrhage in 33-year-old man: a case report

Gunawan

Putri

2022

Int J Adv Med

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The aim of the study was to provide insight into cases of primary intra-ventricular hemorrhage caused by arterial venous malformations. A 33-year-old man visited the emergency room and admitted that he had a chief complaint of headache for the last 7 days. Neurological clinical examination only found nuchal rigidity. The CT scan of the head showed intra-ventricular hemorrhage and the CTA results showed an AVM with a left occipital nidus with arterialization of the posterior cerebral artery. One day before the DSA was performed, the patient had a seizure and based on a repeat CT scan, the bleeding spread to the parenchyma. The patient refused decompression and decided to go home after his condition stabilized and his complaints improved with anti-edema treatment. A repeat DSA action was planned but the patient had financial problems. Primary intra-ventricular hemorrhage occurs when the nidus arterial venous malformation is adjacent to the ventricle although this is only 7% of all cases of primary intra-ventricular hemorrhage. In the case of primary intra-ventricular hemorrhage, complications need to be wary of when hydrocephalus appears. In addition, digital subtraction angiography should be performed prior to endovascular surgery as the main modality of therapy. Arterial venous malformation can be one of the causes. Digital angiography and Endovascular measures should be performed in this patient to prevent further complications. However, the refusal of the patient and family until the time of this case report was made is a separate obstacle in the diagnostic and therapeutic process.

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Section: Discussionmentioning

confidence: 99%

Primary intra-ventricular hemorrhage in 33-year-old man: a case report

Gunawan

Putri

2022

Int J Adv Med

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“…BAVMs can occur in the supplying areas of different intracranial arteries, such as the anterior cerebral artery (ACA), posterior cerebral artery (PCA), and vertebrobasilar artery [2][3][4]. BAVMs can also occur in the supplying area of the middle cerebral artery (MCA), termed MCA-BAVMs, and they are unique due to the complex anatomy of the MCA [5].…”

Section: Introductionmentioning

confidence: 99%

Brain arteriovenous malformations of the middle cerebral artery region: image characteristics and endovascular treatment based on a new classification system

2023

BMC Neurol

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Background To date, few studies have investigated the use of endovascular treatment (EVT) for brain arteriovenous malformations (BAVMs) in the supplying area of the middle cerebral artery (MCA). Moreover, no suitable classification was aimed at EVT for MCA-BAVMs. Therefore, this study proposed a new classification. Methods This study retrospectively collected 135 MCA‑BAVMs. They were classified into four types: Type I BAVMs located above the M1 segment; Type II BAVMs located in the region around the Sylvian fissure; and Type III BAVMs located in the supplying region of the M4 segment and subdivided into types IIIa and IIIb. The relevance of various types of MCA-BAVMs and their imaging characteristics and EVT outcomes was analyzed by ordinary one-way ANOVA, Tukey's multiple comparisons test and the chi-square test. Results The 135 patients averaged 33.8 ± 14.7 years and included 75 females (55.6%, 75/135). Among them, 15 (11.1%, 15/135), 16 (11.9%, 16/135), 54 (40%, 54/135), and 50 (37%, 50/135) MCA-BAVMs were type I, II, IIIa and IIIb, respectively. After EVT, a good outcome was achieved in 97% of patients. Statistical analysis showed that type I BAVMs were smaller than type II and IIIb BAVMs (P value < 0.05), and type IIIb BAVMs were larger than type I and IIIa BAVMs (P value < 0.05). Deep vein involvement in type I and IIIb BAVMs was more common than in other types (P value < 0.05), and intraventricular hemorrhage (IVH) was also more common (P value < 0.05). The normal morphology in type IIIb was less than that in the other types (P value < 0.05). Type IIIa BAVMs had a higher degree than other types (P value < 0.05). Conclusion The present study demonstrated that the new classification of MCA-BAVMs can be used to evaluate imaging characteristics and EVT outcomes in different types. In addition, EVT may be a safe treatment modality for MCA‑BAVMs.

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Role of the anterior choroidal artery in the endovascular treatment of brain arteriovenous malformations

Hou

2022

Acta Neurol Belg

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Anatomy of the feeding arteries of the cerebral arteriovenous malformations

Abstract: The knowledge of the origin and anatomic features of the AVMs feeders is important in the explanation of neurologic signs, and in a decision regarding the endovascular embolization, neurosurgical and radiosurgical treatments.

Cited by 3 publications

References 67 publications

Primary intra-ventricular hemorrhage in 33-year-old man: a case report

Primary intra-ventricular hemorrhage in 33-year-old man: a case report

Brain arteriovenous malformations of the middle cerebral artery region: image characteristics and endovascular treatment based on a new classification system

Role of the anterior choroidal artery in the endovascular treatment of brain arteriovenous malformations

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