Table 1:
Patient | Age (yr) | Presentation | Location | Eloquent Tissue at Risk | Grade (size/eloquent/drainage)* | Arterial Supply | VAT AVM/normal (s) |
---|---|---|---|---|---|---|---|
1 | 65 | Headache | Left frontal | Broca area | 2/1/0 | L M2–3, L ACA | 0.67/3.87 |
2 | 44 | Bleed + seizures | Right frontal-parietal | Primary sensorimotor cortex | 2/1/0 | R M3–4 | 0.54/3.74 |
3 | 23 | Hand/Face numbness | Left frontal-parietal | Primary sensorimotor cortex | 1/1/0 | L M4 | 0.27/3.87 |
4 | 33 | Bleed + headache, expressive dysphasia | Left frontal | Broca area | 1/1/0 | L M4 | NA |
5 | 49 | Headache | Left occipital-temporal | Visual cortex, optic radiations | 1/1/0 | L M4 | NA |
6 | 23 | Left face/tongue spasms | Right frontal-parietal | Primary sensorimotor cortex | 2/1/0 | R M3–4 | 0.4/3.2 |
7 | 47 | Headache, blurry vision | Left frontal | Broca area | 2/1/1 | L M1–4, L ACA | 0.53/6.13 |
Note:—VAT indicates venous appearance time with contrast appearance in supraclinoid artery as reference point (t = 0 seconds) for both AVM and normal venous structures; NA, not available (DSA performed elsewhere); R, right; L, left; M1–4, middle cerebral artery branches; ACA, anterior cerebral artery.
Spetzler-Martin grade by category (size, involvement of eloquent brain, and drainage pattern) with eloquent regions defined as primary sensorimotor cortex, language and visual cortex, hypothalamus and thalamus, internal capsule, brain stem, and deep cerebellar nuclei.1