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De novo brain arteriovenous malformation after tumor resection: case report and literature review

  • Case Report - Vascular Neurosurgery - Arteriovenous malformation
  • Published:
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Abstract

The congenital origin of brain arteriovenous malformations (bAVMs) has been increasingly challenged by reports of de novo bAVMs in patients previously confirmed to have no vascular malformation. We describe the oldest patient reported in the English language literature harboring a de novo bAVM. An uneventful frontal convexity meningioma resection was performed for a 60-year-old woman, and at 67 years of age, a bAVM was detected by MRI and confirmed by digital subtraction angiography at the site of the previous meningioma resection. This case adds to the growing literature that the etiology of bAVMs is most likely multifactorial.

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Authors and Affiliations

  1. Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Suite 201, Level 2, 75 Talavera Rd, Sydney, New South Wales, 2109, Australia

    Anna Lo Presti, Jeffrey M. Rogers, Nazih N. A. Assaad, Michael L. Rodriguez, Marcus A. Stoodley & Michael K. Morgan

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  1. Anna Lo Presti
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  2. Jeffrey M. Rogers
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  3. Nazih N. A. Assaad
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  4. Michael L. Rodriguez
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  5. Marcus A. Stoodley
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  6. Michael K. Morgan
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Correspondence to Anna Lo Presti.

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Comments

Once thought unlikely, the increasing reports of de novo arteriovenous malformations (avm) further solidify the concept that the cerebral vascular system is a dynamic structure as opposed to the long accepted static one. This is an interesting report. It is limited by the fact that no preoperative dedicated vascular imaging was available. The imaging that was available does lead us to infer that this is likely a de novo avm. Understanding the underlying pathogenesis of these lesions may provide valuable insights into the formation of these lesions and possible treatment options.

Ketan R. Bulsara

Connecticut, USA

This article is part of the Topical Collection on Vascular Neurosurgery - Arteriovenous malformation

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Lo Presti, A., Rogers, J.M., Assaad, N.N.A. et al. De novo brain arteriovenous malformation after tumor resection: case report and literature review. Acta Neurochir 160, 2191–2197 (2018). https://doi.org/10.1007/s00701-018-3668-8

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  • DOI: https://doi.org/10.1007/s00701-018-3668-8

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