Eight year old male who presented with papilledema during routine eye examination. (Patient 2, Table 4
A. T2-weighted axial MRI demonstrates serpiginous flow voids of various sizes in the left frontal lobe suggestive of AVM.
B. Lateral left internal carotid artery injection digital subtraction angiogram demonstrates a 6 cm left frontal AVM fed predominantly by both anterior cerebral arteries (ACAs), but predominately by the left ACA with superficial drainage. A compactness score of 1 was assigned.
C. Intra-operative angiography following resection was performed showing complete resection of the AVM on lateral view.
D. Lateral left internal carotid artery injection digital subtraction angiogram 1 year post-resection demonstrating recurrence of the AVM (arrow). Patient underwent craniotomy for recurrent AVM resection.
E. Lateral left internal carotid artery injection digital subtraction angiogram 1 year post-operatively after second resection demonstrating no recurrent AVM.