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Cerebral Arteriovenous Malformations with Associated Arterial Aneurysms: Hemodynamic and Therapeutic Considerations

Published online by Cambridge University Press:  18 September 2015

Douglas Kondziolka ,
Bruce J. Nixon ,
Pierre Lasjaunias ,
Pierre Lasjaunias ,
William S. Tucker ,
Karel TerBrugge  and
Sanford M. Spiegel
Douglas Kondziolka
Affiliation:
Divisions of Neurosurgery and Neuroradiology, University of Toronto, and Department of Neuroradiology, Bicetre Hospital, Paris, France
Bruce J. Nixon
Affiliation:
Divisions of Neurosurgery and Neuroradiology, University of Toronto, and Department of Neuroradiology, Bicetre Hospital, Paris, France
Pierre Lasjaunias
Affiliation:
Divisions of Neurosurgery and Neuroradiology, University of Toronto, and Department of Neuroradiology, Bicetre Hospital, Paris, France
Pierre Lasjaunias
Affiliation:
Divisions of Neurosurgery and Neuroradiology, University of Toronto, and Department of Neuroradiology, Bicetre Hospital, Paris, France
William S. Tucker
Affiliation:
Divisions of Neurosurgery and Neuroradiology, University of Toronto, and Department of Neuroradiology, Bicetre Hospital, Paris, France
Karel TerBrugge*
Affiliation:
Divisions of Neurosurgery and Neuroradiology, University of Toronto, and Department of Neuroradiology, Bicetre Hospital, Paris, France
Sanford M. Spiegel
Affiliation:
Divisions of Neurosurgery and Neuroradiology, University of Toronto, and Department of Neuroradiology, Bicetre Hospital, Paris, France
*
Department of Neuroradiology, Toronto Western Hospital, 399 Bathurst St., Toronto, Ontario, Canada M5T 2S8
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Abstract:

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The common vascular anomalies of cerebral aneurysm and arteriovenous malformation may exist independently, or together as part of a closely related hemodynamic pairing. Resection or embolization of an AVM may be followed by a decrease in local blood flow, and lead to regression of a suitably situated proximal aneurysm. However, aneurysms located outside the angioarchitecture of the AVM, which remain flow-unrelated to the malformation, will likely not regress, and may in fact enlarge. Two cases are presented which demonstrate these vascular relationships, in order to better understand the regional hemodynamics of these anomalies prior to surgical or endovascular treatment planning.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 15 , Issue 2 , May 1988 , pp. 130 - 134
Copyright
Copyright © Canadian Neurological Sciences Federation 1988

References

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