title: Recurrent cerebral arteriovenous malformation with a posterior inferior cerebellar artery aneurysm.
abstract: OBJECTIVE
  Cerebral arteriovenous malformations (AVMs) are congenital lesions which     rarely recur after complete microsurgical excision.
  
  
  METHODS
  This     case report presents a 35-year-old woman who had been referred with a     hemorrhagic AVM five years ago. This patient has recently undergone     microsurgical excision for her left parieto-occipital Grade II AVM and surgical     clipping of the left posterior inferior cerebellar artery (PICA) aneurysm which     was concomitantly detected. She is the oldest case reported whose AVM recurred     as Grade III, which is bigger than her first AVM associated with an aneurysm.
  
  
  CONCLUSIONS
  Although some authors do not propose routine additional follow-up in     adults after the initial negative postoperative angiogram, we believe that such     patients should be followed clinically and radiologically.
authors.affiliation: Şişli Etfal Education and Research Hospital, Clinic of Neurosurgery, Istanbul, Turkey. mmusluman@yahoo.com
authors.forename: Ahmet Murat
authors.initials: AM
authors.lastname: Musluman
authors.forename: Halit
authors.initials: H
authors.lastname: Cavusoglu
authors.forename: Adem
authors.initials: A
authors.lastname: Yilmaz
authors.forename: Yunus
authors.initials: Y
authors.lastname: Aydin
mesh_terms: D000328:Adult; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D002538:Intracranial Arteriovenous Malformations / Q000000981:diagnostic imaging* / Q000601:surgery*; D014854:Lateral Medullary Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery*; D008866:Microsurgery; D019635:Neurosurgical Procedures; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D012008:Recurrence