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Spontaneous Regression Of Large Bilateral Basal Ganglia Arterio-venous Malformations

Chen et al., 1991Other/Unknown

Chen, J. W., Kerber, C., & U, H. S. (1991). spontaneous regression of large bilateral basal ganglia arterio-venous malformations. AJNR. American journal of neuroradiology, 12(5), 835–837.

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Abstract

The basal ganglia and thalami are paired deep grey matter structures with extensive metabolic activity that renders them susceptible to injury by various diseases. Most pathological processes lead to bilateral lesions, which may be symmetric or asymmetric, frequently showing characteristic patterns on imaging studies. In this comprehensive pictorial review, the most common and/or typical genetic, acquired metabolic/toxic, infectious, inflammatory, vascular and neoplastic pathologies affecting the central grey matter are subdivided according to the preferential location of the lesions: in the basal ganglia, in the thalami or both. The characteristic imaging findings are described with emphasis on the differential diagnosis and clinical context.

Case Details

Disease Location

Brain blood vessels

Personal Characteristics

20 years old woman

Clinical Characteristics

Persistent mild headaches. Normal neurologic examination. 10 years of intermittent headaches. Large arterio-venous malformations confirmed (avm)

Remission Characteristics

After 4 months of follow-up, the patient developed new bifrontal headaches, angiogram demonstrated almost complete regression of the avm in both basal ganglia. No evidence of mass effect, hemorrhage or early draining veins.

Treatment & Mechanisms

Proposed Remission Mechanisms

Unclear reason for sr. Patient didn't receive any surgical manipulation or radiation therapy.