Arteriovenous malformations (AVM): management
Evidence-based neurology checklist on arteriovenous malformations (avm): management: Investigations Computed tomography scan (CT) head: this shows a serpiginous hyperdensity Magnetic resonance imaging (MRI): this shows serpiginous flow voids CT angiography Transcranial doppler ultrasound: this…
Investigations
- Computed tomography scan (CT) head: this shows a serpiginous hyperdensity
- Magnetic resonance imaging (MRI): this shows serpiginous flow voids
- CT angiography
- Transcranial doppler ultrasound: this demonstrates the ‘Seagull cry’ sound
Patient counselling of unruptured AVMs
Medical management of unruptured AVMs
Surgical treatment
Stereotactic radiosurgery
Prognosis of AVM-related intracerebral haemorrhage (ICH)
References
- Morelli N, Rota E, Michieletti E, Guidetti D. The "seagull cry" in a patient with a cerebral arteriovenous malformation. J Ultrasound 2012; 15:176-178.
- Morelli N, Immovilli P, Mazza L, et al. "The seagull cry" in internal carotid artery dissection. Neurology 2011; 77:1769.
- Derdeyn CP, Zipfel GJ, Albuquerque FC, et al; American Heart Association Stroke Council. Management of brain arteriovenous malformations: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2017; 48:e200-e224.
- Mohr JP, Overbey JR, Hartmann A, et al. Medical management with interventional therapy versus medical management alone for unruptured brain arteriovenous malformations (ARUBA): final follow-up of a multicentre, non-blinded, randomised controlled trial. Lancet Neurol 2020; 19:573-581.
- Mohr JP, Parides MK, Stapf C, et al. Medical management with or without interventional therapy for unruptured brain arteriovenous malformations (ARUBA): a multicentre, non-blinded, randomised trial. Lancet 2014; 383:614-621.
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