THERAPY FOR CEREBRAL ANEURYSMS AND ARTERI OVENOUS VASCULAR MALFORMATIONS IN HEREDITARY HEMORRHAGIC TELEANGIECTASIA (RENDU-OSLER-WEBER DISEASE)

Little is known about the course of cerebral aneurysms in hereditary h emorrhagic teleangiectasia (Rendu-Osler-Weber's disease). Thus, therap eutic decisions are often difficult. For the first time, we report the successful embolization of an arteriovenous fistula and multiple aneu rysms of the posterior inferior cerebellar artery (PICA) of a patient with Rendu-Osler-Weber's disease after subarachnoid hemorrhage. Two ye ars later she suffered another severe intracranial hemorrhage. Angiogr aphy revealed an aneurysm in the same artery (PICA), which spontaneous ly disappeared within 2 months. Spontaneous regression of aneurysms in Rendu-Osler-Weber's disease has not been reported before.