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Published byDamon McBride Modified over 9 years ago
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Cristina Caterina Aldea Scientific Coordinator: Professor Ioan Ştefan Florian MD, PhD “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca
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Non-neoplastic Vascular Malformations of the Brain 1. Arteriovenous Malformations (AVMs) 2. Venous Angioma 3. Cavernoma 4. Capillary Teleangiectasia 5. Direct Fistula ( McCormick-1966 )
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Arteriovenous Malformations
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Patophysiology
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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
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Imaging studies CT scan CT angiography MRI / angio - MRI Cerebral angiography
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Cavernomas = cavernous angioma, cavernous hemangioma
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Clinical presentation Seizures Progressive Neurological Deficit Hemorrhage ( usually IP ) > 50 % asymptomatic
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Imaging Studies CT MRI - hemosiderine ring ( “salt and pepper” appearance ) Angiography – “angiographically occult”
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