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Cristina Caterina Aldea
       Scientific Coordinator: Professor Ioan Ştefan Florian MD, PhD
“Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca
Non-neoplastic Vascular
     Malformations of the Brain

1. Arteriovenous Malformations (AVMs)
2. Venous Angioma
3. Cavernoma
4. Capillary Teleangiectasia


5.   Direct Fistula

( McCormick-1966 )
Arteriovenous Malformations
Arteriovenous Malformations
Patophysiology
Clinical presentation
1. Hemorrhage - most common
                  - 82% significant IP component
                  - SAH, IVH
2. Seizures
3. Mass effect ( increased ICP )
4. Progressive Neurologic Deficit


7% of patients with AVMs present associated
aneurysms
Imaging studies
   CT scan

   CT angiography

   MRI / angio - MRI

   Cerebral angiography
Cavernomas
= cavernous angioma, cavernous hemangioma
Clinical presentation
   Seizures

   Progressive Neurological Deficit

   Hemorrhage ( usually IP )



> 50 % asymptomatic
Imaging Studies

   CT

   MRI - hemosiderine ring ( “salt and pepper” appearance )

   Angiography – “angiographically occult”
Thank you for your attention!

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