Medi-Fax Atlas Series - AVM of Cerebellum, Right

Medi-Fax Atlas Series

Atlas of Brain - Aneurysm and Other Vascular Anomalies

Editor: Dr. Chris Ekong

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AVM of Cerebellum, Right

Contributor:

Dr. Krishna Kumar

Consultants:

Dr. Chris Ekong
Dr. Mike Tymianski
Dr. Gary Ferguson
Dr. Christopher Wallace
Dr. J Max Findlay
Dr. R Willinsky

Case 11

Age: 26

Sex: Female

History: Sudden severe headaches and drowsiness and vomiting on March 2, 2001. Examination showed GCS of 14. Truneal ataxia.

Pre-op Images

Pre-op CT head showing right intracerebellar haematoma and no hydrocephalus.



Pre-op vertebral angiogram showing right AVM.

Treatment:

Emergency surgery and evacuation of hematoma and excision of AVM. Slightly ataxic post op. GCS 15.

Post-op Images

Left CT head showing no haematoma.



Pre-op vertebral angiogram showing no AVM.

Comments:

Where was the AVM?
There was a 1 hour delay for the angiogram. Would any surgeon have proceeded without an angiogram?
This case is different from case 14 in that this one was drowsy and vomiting. Would anyone have done emergency embolizationbefore surgery?

Last Updated: May 29, 2003