Arteriovenous malformation and glioma: coexistent or sequential? Case report.
A 9-year-old girl was evaluated for behavioral changes and seizures. Initial computerized tomography and cerebral angiography revealed a left cerebral vascular mass, diagnosed as an arteriovenous malformation. An embolization procedure was attempted but was terminated before completion because the patient developed a right hemiparesis. Her right-sided neurological deficit subsequently increased with enlargement of the mass lesion. On follow-up cerebral angiography approximately 2 years later the vascular malformation was no longer demonstrated. Biopsy of the mass lesion revealed it to be an anaplastic astrocytoma. This case is reported with a review of the literature on the coexistence of a brain tumor and a vascular malformation, the difficulties in diagnosis, and possible etiologies.
Goodkin
R
R
Department of Neurological Surgery, City of Hope National Medical Center, Duarte, California.
Zaias
B
B
Michelsen
W J
WJ
D001254:Astrocytoma / Q000150:complications* / Q000175:diagnosis / Q000209:etiology; D001706:Biopsy; D001932:Brain Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000209:etiology; D002533:Cerebral Angiography; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed