Skip to main content

Advertisement

SpringerLink
Log in

Unique double recurrence of cerebral arteriovenous malformation

  • Case Report - Vascular
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Surgically treated patients with arteriovenous malformations (AVMs) are considered cured when the postoperative angiogram proves complete resection. However, despite no residual nidus or early draining vein on postoperative angiogram, rare instances of AVM recurrence have been reported in adults. In this paper, the authors present a case of a 24-year-old woman with asymptomatic double recurrence of her cerebral AVM after angiographically proven complete resection. To the authors’ knowledge, this patient represents the first case with double de novo asymptomatic recurrence of Spetzler–Martin grade I AVM. Also, she represents the first case with unique AVM criteria in each recurrence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Akimoto H, Komatsu K, Kubota Y (2003) Symptomatic de novo arteriovenous malformation appearing 17 years after the resection of two other arteriovenous malformations in childhood. Case report. Neurosurgery 52:228–232

    PubMed  Google Scholar 

  2. Ali MJ, Bendok BR, Rosenblatt S, Rose JE, Getch CC, Batjer HH (2003) Recurrence of pediatric cerebral arteriovenous malformations after angiographically documented resection. Pediatr Neurosurg 39:32–38

    Article  PubMed  Google Scholar 

  3. Alvarez H, Perry V, Solle M, Mauricio Castillo M (2012) De novo cerebral arteriovenous malformation in a child with previous cavernous malformation and developmental venous anomaly. Case report. J Neurosurg Pediatrics 9:327–330

    Article  Google Scholar 

  4. Andaluz N, Myseros JS, Sathi S, Crone KR, Tew JM Jr (2004) Recurrence of cerebral arteriovenous malformations in children: report of two cases and review of the literature. Surg Neurol 62:324–331

    Article  PubMed  Google Scholar 

  5. Bradác O, Mayeroá K, Hrabal P, Benes V (2010) Haemorrhage from a radiosurgically treated arteriovenous malformation after its angiographically proven obliteration: a case report. Cent Eur Neurosurg 71(2):92–95

    Article  PubMed  Google Scholar 

  6. Bristol RE, Albuquerque FC, Spetzler RF, Rekate HL, McDougall CG, Zabramski JM (2006) Surgical management of arteriovenous malformations in children. J Neurosurg 105(2 Suppl):88–93

    PubMed  Google Scholar 

  7. Codd PJ, Mitha AP, Ogilvy CS (2008) A recurrent cerebral arteriovenous malformation in an adult. Case report. J Neurosurg 109:486–491

    Article  PubMed  Google Scholar 

  8. Davidson AS, Morgan MK (2010) How safe is arteriovenous malformation surgery? A prospective, observational study of surgery as first-line treatment for brain arteriovenous malformations. Neurosurgery 66:498–505

    Article  PubMed  Google Scholar 

  9. Freudenstein D, Duffner F, Ernemann U, Rachinger J, Grote E (2001) Recurrence of a cerebral arteriovenous malformation after surgical excision. Cerebrovasc Dis 11:59–64

    Article  CAS  PubMed  Google Scholar 

  10. Fuwa I, Wada H, Matsumoto T (1988) Recurrence of AVM after disappearing on postoperative angiography—report of two cases. No Shinkei Geka 16:887–891

    CAS  PubMed  Google Scholar 

  11. Gabriel EM, Sampson JH, Wilkins RH (1996) Recurrence of a cerebral arteriovenous malformation after surgical excision. Case report. J Neurosurg 84:879–882

    Article  CAS  PubMed  Google Scholar 

  12. Hashimoto N, Nozaki K (1999) Do cerebral arteriovenous malformations recur after angiographically confirmed total extirpation? Crit Rev Neurosurg 9:141–146

    Article  PubMed  Google Scholar 

  13. Hernesniemi J, Keränen T (1990) Microsurgical treatment of arteriovenous malformations of the brain in a defined population. Surg Neurol 33:384–390

    Article  CAS  PubMed  Google Scholar 

  14. Hino A, Fujimoto M, Iwamoto Y, Takahashi Y, Katsumori T (1999) An adult case of recurrent arteriovenous malformation after “complete” surgical excision: a case report. Surg Neurol 52:156–159

    Article  CAS  PubMed  Google Scholar 

  15. Hladky JP, Lejeune JP, Blond S, Pruvo JP, Dhellemmes P (1994) Cerebral arteriovenous malformations in children: report on 62 cases. Childs Nerv Syst 10:328–333

    Article  CAS  PubMed  Google Scholar 

  16. Hoh BL, Ogilvy CS, Butler WE, Loeffler JS, Putman CM, Chapman PH (2000) Multimodality treatment of nongalenic arteriovenous malformations in pediatric patients. Neurosurgery 47:346–358

    Article  CAS  PubMed  Google Scholar 

  17. Kader A, Goodrich JT, Sonstein WJ, Stein BM, Carmel PW, Michelsen WJ (1996) Recurrent cerebral arteriovenous malformations after negative postoperative angiograms. J Neurosurg 85:14–18

    Article  CAS  PubMed  Google Scholar 

  18. Klimo P Jr, Rao G, Brockmeyer D (2007) Pediatric arteriovenous malformations: a 15-year experience with an emphasis on residual and recurrent lesions. Childs Nerv Syst 23:31–37

    Article  PubMed  Google Scholar 

  19. Kondziolka D, Humphreys RP, Hoffman HJ, Hendrick EB, Drake JM (1992) Arteriovenous malformations of the brain in children: a forty-year experience. Can J Neurol Sci 19:40–45

    CAS  PubMed  Google Scholar 

  20. Lasjaunias P (1997) A revised concept of the congenital nature of cerebral arteriovenous malformations. Interv Neuroradiol 3:275–281

    CAS  PubMed  Google Scholar 

  21. Maher CO, Scott RM (2009) Linear vein-based arteriovenous malformations in children. Clinical article. J Neurosurg Pediatr 4:12–16

    Article  PubMed  Google Scholar 

  22. Morgan MK, Patel NJ, Simos M, Ritson EA, Heller GZ (2012) Influence of the combination of patient age and deep venous drainage on brain arteriovenous malformation recurrence after surgery. Clinical article. J Neurosurg 117:934–941

    Article  PubMed  Google Scholar 

  23. Musluman AM, Cavusoglu H, Yilmaz A, Aydin Y (2011) Recurrent cerebral arteriovenous malformation with a posterior inferior cerebellar artery aneurysm. Turk Neurosurg 21:674–679

    PubMed  Google Scholar 

  24. Neil JA, Li D, Stiefel MF, Hu YC (2014) Symptomatic de novo arteriovenous malformation in adult: case report and review of the literature. Surg Neurol Int 5:148

    PubMed Central  PubMed  Google Scholar 

  25. Park YS, Kwon JT (2009) Recurrent cerebral arteriovenous malformation in a child: case report and review of the literature. J Korean Neurosurg Soc 45:401–404

    Article  PubMed Central  PubMed  Google Scholar 

  26. Pellettieri L, Svendsen P, Wikholm G, Carlsson CA (1997) Hidden compartments in AVMs—a new concept. Acta Radiol 38:2–7

    Article  CAS  PubMed  Google Scholar 

  27. Rodríguez AC, Martínez R, Rey G, Bravo G (2000) Recurrence in a different location of a cerebral arteriovenous malformation in a child after radiosurgery. Case report. Child’s Nerv Syst 16:363–365

    Article  Google Scholar 

  28. Santoro A, Giuliani S, Paolini S (2000) Recurrent arteriovenous malformation in an adult. Case illustration. J Neurosurg 93:1082

    Article  CAS  PubMed  Google Scholar 

  29. Sure U, Butz N, Schlegel J, Siegel AM, Wakat JP, Mennel HD, Bien S, Bertalanffy H (2001) Endothelial proliferation, neoangiogenesis, and potential de novo generation of cerebrovascular malformations. J Neurosurg 94:972–977

    Article  CAS  PubMed  Google Scholar 

  30. Takagi Y, Kikuta K, Nozaki K, Hashimoto N (2010) Early regrowth of juvenile cerebral arteriovenous malformations: report of 3 cases and immunohistochemical analysis. World Neurosurg 73:100–107

    Article  PubMed  Google Scholar 

  31. Weil AG, Li S, Zhao JZ (2011) Recurrence of a cerebral arteriovenous malformation following complete surgical resection: a case report and review of the literature. Surg Neurol Int 2:175

    Article  PubMed Central  PubMed  Google Scholar 

  32. Wostrack M, Meyer B, Stoffel M (2011) Asymptomatic arteriovenous malformation recurrence in an adult. Acta Neurochir 153:1821–1823

    Article  PubMed  Google Scholar 

  33. Yaşargil MG (1988) Microneurosurgery. AVM of the brain, clinical considerations, general and special operative techniques, surgical results, nonoperated cases, cavernous and venous angiomas, neuroanesthesia, vol IIIB. Thieme, New York, pp 376–379

    Google Scholar 

Download references

Informed patient consent

The patient has consented to the submission of the case report for submission to the journal.

Conflict of interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Japan

    Alhusain Nagm, Tetsuyoshi Horiuchi, Shunsuke Ichinose & Kazuhiro Hongo

  2. Department of Neurosurgery, Al-Azhar University Faculty of Medicine-Nasr City, Cairo, Egypt

    Alhusain Nagm

Authors
  1. Alhusain Nagm
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tetsuyoshi Horiuchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shunsuke Ichinose
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kazuhiro Hongo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alhusain Nagm.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nagm, A., Horiuchi, T., Ichinose, S. et al. Unique double recurrence of cerebral arteriovenous malformation. Acta Neurochir 157, 1461–1466 (2015). https://doi.org/10.1007/s00701-015-2461-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00701-015-2461-1

Keywords

Search

Navigation