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Cerebral arteriovenous malformations (C. AVM) and associated arterial aneurysms (AA)

Analysis of 101 C. AVM cases, with 37 AA in 23 patients

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Summary

We report a series of 101 patients with cerebral arteriovenous malformations (CAVM), in which 23 cases presented with one or several arterial aneurysm(s) (AA). Each AA could be classified into distal intra-lesional, proximal or remote. Patients with CAVM+AA tend to be older and more frequently present with epilepsy, haemorrhage events and neurological deficits. Of these 23 patients, 16 had their AVM treated partially or totally by embolization. In our series, the endovascular treatment of the arteriovenous shunt with a proximal AA on the same vessel has resulted in at least a regression, and sometimes a disappearance of the arterial ectasia. Although partial treatment of the AVM does no erase the risk of haemorrhage from the malformation itself, it may diminish the chance of developing a flow-related AA or any other expression of the high-flow angiopathy.

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References

  1. Aarabi B, Chambers J (1978) Giant thrombosed aneurysm associated with an arteriovenous malformation. Case report. J Neurosurg 49: 278–282

    PubMed  Google Scholar 

  2. Akazome T, Araki S (1962) Rare association of intracranial aneurysm and arteriovenous malformation. Case report. J Jp Soc Intern Med 50: 1301–1306

    Google Scholar 

  3. Alvarez F, Roda J (1986) Experimental model for induction of cerebral aneurysms in rats. J Neurosurg 65: 398–400

    PubMed  Google Scholar 

  4. Ancri D, Pertuiset B (1985) Instantaneous measurements of flow velocity in internal carotid arteries by pulsed Doppler in cerebral arteriovenous malformation. Neurochirurgie 31: 1–6

    Google Scholar 

  5. Anderson RM, Blackwood W (1959) The association of arteriovenous angioma and saccular aneurysm of the arteries of the brain. J Pathol Bacteriol 77: 101–110

    PubMed  Google Scholar 

  6. Anerjee AK, Rana PVS (1976) Cerebral AV malformation and aneurysms with polycystic kidneys. Neurol India 24: 160–161

    PubMed  Google Scholar 

  7. Arai H, Sugiyama Y, Kawakami Set al (1972) Multiple intracranial aneurysms and vascular malformations in an infant. Case report. J Neurosurg 37: 357–360

    PubMed  Google Scholar 

  8. Arieti S, Gray EW (1944) Progressive multiform angiomatosis: association of a cerebral angioma, aneurysms and other vascular changes in the brain. Arch Neurol Psychiatry 51: 182–189

    Google Scholar 

  9. Baba M, Shimizu T, Kagawa Met al (1977) A case of multiple anomalies of cerebral vessels-fenestration of the middle cerebral artery, aneurysm of the anterior communicating artery and arteriovenous malformation on the frontopolar region. No Shinkei Geka 5: 59–64

    PubMed  Google Scholar 

  10. Batjer H, Suss RA, Samson E (1986) Intracranial arteriovenous malformations associated with aneurysms. Neurosurgery 18: 29–35

    PubMed  Google Scholar 

  11. Bebin J, Smith EE (1982) Vascular malformations of the brain. In: Smith RR, Haerer A, Russel WF (eds) Vascular malformations and fistulas of the brain. Raven Press, New York

    Google Scholar 

  12. Boyd-Wilson JS (1966) The association of cerebral angiomas with intracranial aneurysms. J Neurol Neurosurg Psychiatry 22: 218–316

    Google Scholar 

  13. Brihaye J, Blackwood W (1957) Arteriovenous aneurysm of the cerebral hemispheres. J Path Bact 73: 25–31

    Google Scholar 

  14. Caram PC (1959) Simultaneous occurrence of intracranial aneurysms and angioma. J Neurosurg 16: 230–232

    PubMed  Google Scholar 

  15. Caram PC, Sharkey PC, Alvord EC Jr (1960) Thalamic angioma and aneurysm of the anterior choroidal artery with intraventricular hematoma. J Neurosurg 17: 347–352

    PubMed  Google Scholar 

  16. Cronquist S, Troupp H (1966) Intracranial arteriovenous malformation and arterial aneurysm in the same patient. Acta Neurol Scand 42: 307–316

    PubMed  Google Scholar 

  17. Czernobilsky B, Bouzarth WF (1965) Vascular malformations in the brain in a patient with multiple telangiectasia of the intestine and lungs. J Am Med Worn Assoc 20: 337–340

    Google Scholar 

  18. Dalquen P, Schmid AH, Ohnacker Het al (1974) Multiple aneurysms of lung and brain in juvenile hepatic cirrhosis. Vasa 3: 10–15

    PubMed  Google Scholar 

  19. Duvernoy HM, Delon S, Vannson JL (1981) Cortical blood vessels of the human brain. Brain Res Bull 7: 519–579

    PubMed  Google Scholar 

  20. Eto RT, Harley JD, Chikos PMet al (1974) Subarachnoid hemorrhage in hereditary hemorrhagic telangiectasis. A report of two cases. Neuroradiology 8: 127–130

    Google Scholar 

  21. Fine R, Paterson H, Steven Let al (1960) Simultaneous occurrence of intracranial aneurysms and arteriovenous malformation. Report of a case successfully treated. Br Med J 2: 711–712

    Google Scholar 

  22. Fluacher AS, Foria MA, Hoffman JC (1979) Pseudoaneurysm complicating superficial temporal cerebral artery bypass. Surg Neurol 12: 305–306

    PubMed  Google Scholar 

  23. Foroughi E (1960) Coexistence of two types of congenital cerebral vascular disease. Arch Neurol 3: 732–736

    PubMed  Google Scholar 

  24. Fry DL (1968) Acute vascular endothelial changes associated with increased blood velocities gradients. Circ Res 22: 165–197

    PubMed  Google Scholar 

  25. Fujino S, Umeda A, Sato Ket al (1976) Coexisting aneurysms and arteriovenous malformation. Case report. Neurol Surg 4: 593–596

    Google Scholar 

  26. Fukawa O, Tanaka T, Takekawa S (1977) The association of intracranial meningioma with arteriovenous malformations and aneurysm. No Shinkei Geka 5: 175–180

    PubMed  Google Scholar 

  27. Gibson RM, Rocha-Melo AN (1960) Angiographie finding of an aneurysm and arteriovenous malformation in the posterior cranial fossa in a case of subarachnoid hemorrhage. J Neurol Neurosurg Psychiatry 23: 237–238

    PubMed  Google Scholar 

  28. Graf CJ, Perret GE, Torner JC (1983) Bleeding from cerebral arteriovenous malformation as part of their natural history. J Neurosurg 58: 331–337

    PubMed  Google Scholar 

  29. Haerer AF (1982) Arteriovenous malformations of the brain: some comments on their natural history. In: Smith RR, Haerer A, Russel WF, Vascular malformations and fistulas of the brain. Raven Press, New York

    Google Scholar 

  30. Hashimoto N, Handa H, Nagata I (1980) Experimentally induced cerebral aneurysms in rats. Part V. Relation of hemodynamics in the circle of Willis to formation of aneurysms. Surg Neurol 13: 41–45

    PubMed  Google Scholar 

  31. Hatanaka H, Tovarys F, Kamano S (1980) A case of arteriovenous malformation, Grade IV, with two giant aneurysms in dominant side speech and motor-sensory area. No Shinkei Geka 8: 701–716

    PubMed  Google Scholar 

  32. Fayashi S, Arimoto T, Itakura Tet al The association of intracranial aneurysms and arteriovenous malformation of the brain: case report. J Neurosurg 55: 971–975

  33. Higashi K, Hatano K, Yamashita Tet al (1979) Coexistence of posterior inferior cerebellar artery aneurysm and arteriovenous malformation fed by the same artery. Surg Neurol 12: 405–408

    PubMed  Google Scholar 

  34. Kassel NF (1981) Comment on Koulouris S, Rizzoli HV: coexisting intracranial aneurysm and arteriovenous malformation: cases report. Neurosurgery 8: 222

    Google Scholar 

  35. Koulouris S, Rizzoli HV (1981) Coexisting intracranial aneurysm and arteriovenous malformation: Case report. Neurosurgery 8: 219–222

    PubMed  Google Scholar 

  36. Laine E, Jomin M, Clarisse Jet al Les malformations arterioveineuses cérébrales et profondes. Classification topographique. Possibilités et résultats thérapeutiques à propos de 46 observations. Neurochirurgie 27: 147–160

  37. Lamas Crago E (1965) Association de un aneurisma arterial y angioma arteriovenoso cerebral. Rev Clin Esp 96: 374–377

    PubMed  Google Scholar 

  38. Lasjaunias P, Manelfe C, Lopez Ibor Let al (1986) Vascular malformations involving the mesencephalic region. Review of 26 personal cases. In: Samii M (ed) Lesions in and around the mesencephalic region. Walter de Gruyter and Co, Berlin New York

    Google Scholar 

  39. Lasjaunias P, Manelfe C, Chiu M (1986) Angiographic architecture of intracranial AVMs and fistulas: pretherapeutic aspects. Neurosurg Rev 9: 253–263

    PubMed  Google Scholar 

  40. Lasjaunias P, Terbrugge K, Piske Ret al (1987) Dilatation de la veine de Galien. Formes anatomocliniques et traitement endovasculaire. A propos de 14 explorés et/ou traites entre 1983 et 1986. Neurochirurgie 33: 315–333

    PubMed  Google Scholar 

  41. Lasjaunias P, Berenstein A (1987) Surgical neuroangiography, vol 2: Endovascular treatment of craniofacial lesions. Springer, Berlin Heidelberg New York London Paris Tokyo

    Google Scholar 

  42. Lindegaard KF, Grolimund P, Aaslid Ret al (1986) Evaluation of cerebral AVM's using transcranial Doppler ultrasound. J Neurosurg 65: 335–344

    PubMed  Google Scholar 

  43. Mawad ME, Hilal SK, Michelson WJet al (1984) Occlusive disease associated with cerebral arteriovenous malformations. Radiology 153: 401–408

    PubMed  Google Scholar 

  44. Mac Cormick WF (1966) The pathology of vascular (“arteriovenous”) malformations. J Neurosurg 24: 807

    PubMed  Google Scholar 

  45. Miyasaka K, Wolpert SM, Prager RJ (1982) The association of cerebral aneurysm, infundibula, and intracranial arteriovenous malformations. Stroke 13: 196–203

    PubMed  Google Scholar 

  46. Murakami S, Goto K, Umezaki H (1971) Case of cerebral aneurysm and arteriovenous malformation presenting as superior cerebellar artery syndrome. No To Shinkei 23: 1295–1298

    PubMed  Google Scholar 

  47. Nicola GC, Nizzoli V (1966) Simultaneous occurrence of multiple intracranial aneurysms and angioma. Presentation of a case. Psychiatr Neurol 151: 220–228

    Google Scholar 

  48. Niiro M, Awa H, Kobayashi Eet al Cerebral arteriovenous malformation co-existed with a cerebral aneurysm at the territory of the posterior choroidal artery. A case report with a special reference to considerations of the occurence. No Shinkei Geka 8: 659–665

  49. Nystrom SHW (1979) Factors related to growth, rupture and spontaneous healing of cerebral aneurysms. In: Pia HW, Langmaid C, Zierski J (eds) Cerebral aneurysms. Springer, Berlin Heidelberg New York

    Google Scholar 

  50. Ohta H, Ito Z, Nakajima Ket al (1980) A case report of ruptured lenticulostriate artery aneurysm with arteriovenous malformation. No To Shinkei 32: 839–846

    PubMed  Google Scholar 

  51. Omojola MF, Fox AJ, Vinuela F {etet al} (1985) Stenosis of afferent vessels of intracranial arteriovenous malformations. AJNR 6: 791–793

    PubMed  Google Scholar 

  52. Onuma T, Hori S, Suzuki J (1977) Intracranial aneurysm associated with arteriovenous malformation. No Shinkei Geka 5: 1157–1164

    PubMed  Google Scholar 

  53. Oon CL, Tay CH, Lai CSet al (1971) Coexistence of cerebral aneurysms with intracranial arteriovenous malformations. Singapore Med J 12: 71–76

    PubMed  Google Scholar 

  54. Pallone A, Cantore G (1981) The role of extracranial carotid abnormalities in the genesis-of cerebral aneurysms. J Neurosurg 55: 693–700

    PubMed  Google Scholar 

  55. Paterson JH, McKissock WA (1956) A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment. A report of 110 cases. Brain 70: 233–266

    Google Scholar 

  56. Perret G, Nishioka H (1966) Report of the cooperative study of intracranial aneurysms and subarachnoid hemorrhage: section VI. Arteriovenous malformations: an analysis of 545 cases of cranio-cerebral arteriovenous malformations and fistulae reported to the cooperative study. J Neurosurg 25: 467–490

    PubMed  Google Scholar 

  57. Perria L, Crudeli R (1958) Further observations on the clinical and physiopathological aspects of the congenital intracranial arteriovenous aneurysms. Acta Neurochir (Wien) 6: 285–309

    Google Scholar 

  58. Pertuiset B, Ancri D, Arthuis Fet al (1985) Conséquences hémodynamiques du shunt vasculaire dans les malformations artérioveineuses intra-cérébrales sus-tentorielles. Etude de l'autorégulation artérielle et de la vitesse circulatoire dans les carotides internes au cou. J Neuroradiology 12: 165–178

    Google Scholar 

  59. Picard L, Moret J, Lepoire J (1984) Traitement endovasculaire des angiomes artério-veineux intra-cérébraux. Technique, indications, résultats. J Neuroradiology 11: 9–28

    Google Scholar 

  60. Pille-Spellman J, Baker KF, Liszczal TMet al (1986) High-flow angiopathy: cerebral blood vessel changes in experimental chronic arteriovenous fistula. AJNR 7: 811–815

    PubMed  Google Scholar 

  61. Reid TL, Cornell B, Murtagh FRet al (1985) Port wine nevus associated with ispsilateral saccular aneurysms: treatment by intraarterial balloon trapping. Surg Neurol 23: 541–544

    PubMed  Google Scholar 

  62. Reigh EE, Lemmen LJ (1960) Cerebral aneurysms with other intracranial pathology. J Neurosurg 17: 469–476

    PubMed  Google Scholar 

  63. Roach MR 81963 Changes in arterial distensibility as a cause of poststenotic dilatation. Am J Cardiol 12: 802–815

  64. Roman G, Fisher M, Perl DPet al (1978) Neurological manifestation of hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber disease). Report of 2 cases and review of the literature. Ann Neurol 4: 130–144

    PubMed  Google Scholar 

  65. Ross RT (1959) Multiple and familial intracranial lesions. Can Med Assoc J 81: 477–479

    PubMed  Google Scholar 

  66. Sakata Y, Aoki H, Higashi Ket al Simultaneous occurrence of intracranial aneurysm and arteriovenous malformation. Arch Jpn Chir 37: 242–247

  67. Shenkin HA, Jenkins F, Kim K (1971) Arteriovenous anomaly of the brain associated with cerebral aneurysm: case report. J Neurosurg 34: 225–228

    PubMed  Google Scholar 

  68. Shenkin HA, Spitz EB, Grant FCet al (1948) Physiologic studies of arteriovenous anomalies of the brain. J Neurosurg 5: 165–172

    Google Scholar 

  69. Somach FM, Shenkin HA (1966) Angiographic end-results of carotid ligation in the treated of carotid aneurysm. J Neurosurg 24: 966–974

    PubMed  Google Scholar 

  70. Stehbens WE (1986) Blood vessels changes in chronic experimental arteriovenous fistulas. Surg Gynec Obstet 127: 327–337

    Google Scholar 

  71. Stenvers HW (1962) Intracranial arterial and arteriovenous aneurysms. Neuroradiological aspects. Psychiat Neurol Neurochir 65: 301–324

    PubMed  Google Scholar 

  72. Suzuki J, Ohara H (1979) Origin rupture and growth of cerebral aneurysms: a clinicopathological study. In: Pia HW, Langmaid C, Zierski J (eds) Cerebral aneurysms. Springer, Berlin Heidelberg New York

    Google Scholar 

  73. Suzuki J, Onuma T (1979) Intracranial aneurysms associated with arteriovenous malformations. J Neurosurg 50: 742–746

    PubMed  Google Scholar 

  74. Suzuki J, Yoshimoto T (1979) Distribution of cerebral aneurysms. In: Pia HW, Langmaid C, Zierski J (eds) Cerebral aneurysms. Springer, Berlin Heidelberg New York

    Google Scholar 

  75. Takara E, Inoue N, Kohno H (1980) Disappearance of coexisting aneurysms and arteriovenous malformation after wrapping of aneurysm. No Shinkei Geka 8: 587–591

    PubMed  Google Scholar 

  76. Tsuchita H, Miyazaki Y (1976) A case with the combination of cerebral aneurysms and cerebral arteriovenous malformation originating from same artery in the same site. No Shinkei Geka 4: 997–1003

    PubMed  Google Scholar 

  77. Viñuela F, Nombella L, Roach MRet al (1985) Stenotic and occlusive disease of the venous drainage system of deep brain AVMs. J Neurosurg 63: 180–184

    PubMed  Google Scholar 

  78. Voigt K, Beck U, Reinshagen G (1973) A complex cerebral vascular malformation studied by angiography. Multiple aneurysms, angiomas and arterial ectasia. Neuroradiology 5: 117–123

    PubMed  Google Scholar 

  79. Walsh FB, King AB (1942) Ocular signs of intracranial saccular aneurysms: experimental work on collateral circulation through the ophthalmic artery. Arch Ophthalmol 27: 1–33

    Google Scholar 

  80. Yamaguchi K, Nishizaka T, Tanji Het al (1977) A case of hypertensive intracerebral hemorrhage associated with cerebral arteriovenous malformation and aneurysm. No Shinkei Geka 5: 153–156

    PubMed  Google Scholar 

  81. Yaşargil MG (1984) Microneurosurgery. Volume Illa. Thieme, Stuttgart New York

    Google Scholar 

  82. Zhou D, Bao YD, Du ZWet al (1985) Experimental cerebral aneurysms in rats. Experimental method and effect of estradiol. Chin Med J 98: 421–426

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Hôpital Bicêtre, Le Kremlin Bicêtre, France

    P. Lasjaunias, R. Piske & R. Willinsky

  2. Department of Radiology, Hospital Da Real E Benemerita, Sao Paulo, Brasil

    R. Piske

  3. Department of Radiology, Toronto Western Hospital, Toronto, Canada

    P. Lasjaunias & K. Terbrugge

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  1. P. Lasjaunias
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Lasjaunias, P., Piske, R., Terbrugge, K. et al. Cerebral arteriovenous malformations (C. AVM) and associated arterial aneurysms (AA). Acta neurochir 91, 29–36 (1988). https://doi.org/10.1007/BF01400524

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