M. Sagoh et al., LARGE DIFFUSE ARTERIOVENOUS MALFORMATION AFFECTING THE RIGHT CEREBRALAND CEREBELLAR HEMISPHERES - CASE-REPORT, Surgical neurology, 46(2), 1996, pp. 122-127
A cerebral vascular malformation was triggered in a 24-year-old man by
left hemiparesis resembling transient ischemic attack. Cerebral angio
graphy revealed slight dilation of the right anterior cerebral artery,
middle cerebral artery, superior cerebellar artery, and posterior inf
erior cerebellar artery, as well as marked capillary blush and dilatio
n of medullary veins involving the right cerebral hemisphere, especial
ly the frontal lobe and cerebellar hemispheres. This vascular malforma
tion, a clinical rarity, seemed to be in the same family as diffuse ar
teriovenous malformation or ''medullary venous malformation,'' Single
photon emission computed tomography showed a decline in cerebral blood
flow in the right cerebral hemisphere, which was the probable cause o
f the left hemiparesis.