fig 2.

Images from the case of a 15-year-old woman who presented with right hemiplegia, a history of recurrent epistaxis, and a family history of HHT. She was also subsequently diagnosed with a pulmonary AVM.

A, Unenhanced CT scan shows an intracerebral hemorrhage and subarachnoid hemorrhage.

B, Lateral-view angiogram of the left internal carotid artery shows an AVF (arrow) involving the left frontal lobe cortex, arising from a middle cerebral artery branch, with cortical drainage and venous pouch (open arrow).

C, Lateral-view angiogram of the right internal carotid artery shows another AVF (arrow) involving the right parietal cortex supplied by the right pericallosal artery with deep drainage and venous pouch (open arrow).