Overview of clinical and diagnostic features and therapy in the 10 patients with cerebral micro-AVMs
Patient No./Age (y)/Sex | Neurologic Presentation | Hematoma Location and Size | Nidus | Feeder Vessel | Drainage | Therapy | Clinical Follow-Up Findings |
---|---|---|---|---|---|---|---|
1/43/F | Prodrome (1 mo), headache, vomiting, R hemianopsia | L occipitoparietal lobe, subarachnoid hemorrhage, 21.98 cm3 | Cortical | L parieto-occipital branch of PCA | Deep | Surgery (endovascular therapy failed) | R inferior quadrantanopia, 12 mo |
2/31/M | Prodrome (1 wk), transitory aphasia, seizure | L temporoparietal lobe, 6.18 cm3 | Cortical | L angular branch of MCA | Superficial | Endovascular, 2 sessions | Occasional word-finding difficulties, 24 mo |
3/60/F | R paresthesias, R arm hypesthesia and paresis | L parietal lobe, 4.13 cm3 | Cortical | R superior parietal branch of CA | Superficial ectasia | Endovascular | Clumsiness of R upper extremity, 24 mo |
4/41/M | Headache, R hemiparesis | L frontal lobe, 8.15 cm3 | Cortical | L paracentral branch of CA | Superficial stenosis | Endovascular | R limp, 24 mo |
5/57/M | Coma (GCS 4), L hemiparesis | R temporoparietal lobes, 35.15 cm3 | Cortical | R temporal branch of MCA | Deep | Surgery | L hand plegia, walking with brace, 4 y |
6/48/F | Coma (GCS 12), hemorrhagic ictus (possibly 13 y previously) | R temporal lobe, intraventricular, 3.0 cm3 | Deep | R posterior temporal branch of PCA | Deep | Endovascular (surgery failed) | Mild cognitive impairment, 24 mo |
7/43/M | Visual disturbances, seizure | R temporal lobe, 9.18 cm3 | Cortical | R middle temporal branch of MCA | Superficial ectasia | Surgery | Seizures >30 d postoperatively, 24 mo |
8/65/F | Coma (GCS 8) | Inferior cerebellar vermis, 15.18 cm3 | Cortical | R PICA and 2 aneurysms | Superficial | Endovascular | None, 24 mo |
9/38/M | Dizziness, headache, vomiting | R cerebellar tonsil, 3.18 cm3 | Cortical | R PICA | Superficial | Surgery | None, 24 mo |
10/50/F | R hemiplegia, seizure, hemorrhagic ictus (possibly 8 y before) | L frontoparietal lobe, 10.5 cm3 | Cortical | L ascending parietal branch of MCA | Superficial | Surgery (endovascular therapy failed) | R hand weakness and numbness, 2 mo |
Note.—GCS indicates Glasgow Coma Scale score; CA, callosomarginal artery; MCA, middle cerebral artery; PCA, posterior cerebral artery; PICA, posterior inferior cerebellar artery.