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J NeuroInterv Surg doi:10.1136/jnis.2009.000471
  • Hemorrhagic stroke

Cerebellar pial arteriovenous malformations presenting with medullary venous hypertension: imaging and endovascular treatment

  1. M V Jayaraman1,3,
  2. R A McTaggart1,
  3. G M Sachs2,
  4. C E Doberstein3
  1. 1Department of Diagnostic Imaging, Warren Alpert School of Medicine, Brown University, Rhode Island Hospital, Providence, Rhode Island, USA
  2. 2Department of Clinical Neurosciences (Neurology), Warren Alpert School of Medicine, Brown University, Rhode Island Hospital, Providence, Rhode Island, USA
  3. 3Department of Neurosurgery, Warren Alpert School of Medicine, Brown University, Rhode Island Hospital, Providence, Rhode Island, USA
  1. Correspondence to
    Dr MV Jayaraman, Department of Diagnostic Imaging, Warren Alpert School of Medicine, Brown University, Rhode Island Hospital, 3rd Floor Main, 593 Eddy St, Providence, RI 02903, USA; mjayaraman{at}lifespan.org
  • Received 1 April 2009
  • Revised 18 June 2009
  • Accepted 23 June 2009
  • Published Online First 15 September 2009

Abstract

A 64-year-old female presented with headache and progressive lower extremity weakness over 1 week. Initial MRI was thought to represent venous hypertension secondary to a dural arteriovenous fistula. However, angiography revealed a cerebellar pial arteriovenous malformation with medullary venous hypertension. The imaging and endovascular treatment of this unusual case of a pial cerebellar arteriovenous malformation presenting in that manner is presented.

Keywords:

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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