CEREBRAL ARTERIOVENOUS MALFORMATION: A CASE REPORT

Jenipher Sweetlin*, Bissy B. Treesa, Ajay Sairaj Asokan, Sandhiya Kannan, Infant Smily Alphonse, Subadhra Devi J. and Venkatanarayanan R.

ABSTRACT

Cerebral arteriovenous malformations (AVMs) are defined as abnormal vascular connections that form between arteries and veins, which have been thought to be congenital. AVMs may present with hemorrhage, seizure, or headache. Here, we report a case of a 25-year-old patient with a stroke-like presentation, where a Digital Subtraction Angiogram (DSA) led to the confirmative diagnosis of a massive arteriovenous malformation (AVM) in the right frontal area of the brain. Therefore the patient has undergone a surgical resection of AVM followed by conservative management to alleviate the symptoms of seizure. Upon review, the patient was asymptomatic without medication. Thus our report contradicts the fact that all AVM are congenital. AVM can occur at any stage of life and DSA remains the gold standard test for diagnosis and microsurgery is the successful management of AVM along with the antiepileptic agent.

Keywords: Cerebral arteriovenous malformation, Seizure, Digital Subtraction Angiogram, Surgical resection, Antiepileptic agent.