Functional MRI in symptomatic proliferative angiopathies.
Seizures, the main expression of cerebral arteriovenous malformations (AVMs) can be difficult to control medically. We studied fMRI in correlation with clinical findings cerebral activation clusters patterns in relation with singular AVMs (proliferative angiopathy). We carried out blood oxygen-level dependent functional MRI (fMRI) in seven patients with language problems due to capillary ectasia with verbal fluency and repetition language tasks in box-car paradigms. fMRI maps were calculated with cross-correlation coefficients and superimposed on brain anatomy. Five patients had perimalformative and/or contralateral areas of ipsi- and contralateral activation clusters redistribution. One patient who underwent fMRI after a severe focal post-ictal deficit had total hemisphere contralateral activation clusters redistribution.
Ducreux
D
D
Department of Neuroradiology, CHU de Bicêtre, Paris XI University, 78 rue du Général Leclerc, 94270 Le Kremlin Bicêtre, France. denis.ducreux@bct.ap-hop-paris.fr
Petit-Lacour
M C
MC
Marsot-Dupuch
K
K
Bittoun
J
J
Lasjaunias
P
P
D000293:Adolescent; D000328:Adult; D001921:Brain / Q000473:pathology*; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests