A recurrent cerebral arteriovenous malformation in an adult

Case report

Patrick J. Codd Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts

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Alim P. Mitha Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts

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Christopher S. Ogilvy Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts

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Arteriovenous malformations are generally considered to be cured following angiographically proven complete resection. However, rare instances of AVM recurrence despite negative findings on postoperative angiography have been reported in both children and adults. In this paper, the authors present the case of a 33-year-old woman with 2 AVM recurrences. This patient represents the oldest case of recurrent AVM, and the first adult double recurrence reported in the literature. The case is presented, the radiological and surgical features are considered, and the literature on recurrent AVMs is reviewed.

Abbreviations used in this paper:

AVM = arteriovenous malformation; PCA = posterior cerebral artery; SSS = superior sagittal sinus; VA = vertebral artery; VEGF = vascular endothelial growth factor.
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