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Research ArticleBrain

Spontaneous Occlusion of a Cerebral Arteriovenous Malformation: Angiography and MR Imaging Follow-up and Review of the Literature

Hilmar Krapf, Ralf Siekmann, Dirk Freudenstein, Wilhelm Küker and Martin Skalej
American Journal of Neuroradiology September 2001, 22 (8) 1556-1560;
Hilmar Krapf
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Ralf Siekmann
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Dirk Freudenstein
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Wilhelm Küker
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Martin Skalej
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    fig 1.

    Cranial CT and MR imaging performed at presentation and 3 months.

    A and B, Initial cranial CT scan shows a lobulated, calcified, 1.5-cm lesion in the central region with surrounding hypoattenuating white matter.

    C and D, In axial T2-weighted images (4800/85 TR/TE), the lesion shows a hypointense signal because of calcifications, while the white matter changes appear hyperintense.

    E, Sagittal reconstruction of T1-weighted fast low-angle shot 3D images (16.1/7 TR/TE) 20 minutes after chelated gadolinium injection reveals a slight contrast enhancement at the AVM nidus.

    F, Three months later, one of the main draining veins appears hyperintense in this nonenhanced T1-weighted images, probably because of thrombus.

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    fig 2.

    Digital subtraction angiograms of the right interior cerebral artery. Lateral views (A, B) and anteroposterior views (C, D) in early arterial and late parenchymal phases show the high-flow central AVM, with two main feeders from the middle cerebral artery and venous drainage via superficial cortical veins into the superior sagittal sinus

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    fig 3.

    Follow-up digital subtraction angiograms of the right interior cerebral artery. Lateral views (A, B) and anteroposterior views (C, D) 4 months later fail to show the AVM nidus. Note the normal lumens of the former feeders

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    Patients with spontaneous, complete obliteration of an AVM without initial hemorrhage

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American Journal of Neuroradiology: 22 (8)
American Journal of Neuroradiology
Vol. 22, Issue 8
1 Sep 2001
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Cite this article
Hilmar Krapf, Ralf Siekmann, Dirk Freudenstein, Wilhelm Küker, Martin Skalej
Spontaneous Occlusion of a Cerebral Arteriovenous Malformation: Angiography and MR Imaging Follow-up and Review of the Literature
American Journal of Neuroradiology Sep 2001, 22 (8) 1556-1560;

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Spontaneous Occlusion of a Cerebral Arteriovenous Malformation: Angiography and MR Imaging Follow-up and Review of the Literature
Hilmar Krapf, Ralf Siekmann, Dirk Freudenstein, Wilhelm Küker, Martin Skalej
American Journal of Neuroradiology Sep 2001, 22 (8) 1556-1560;
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  • Contrast Agent Induced Obliteration of a Spinal Arteriovenous Malformation
  • Spontaneous thrombosis of congenital cerebral arteriovenous malformation complicated by subdural collection: in utero detection with disappearance in infancy.
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