title: Can arteriovenous malformation prevent the diagnosis of brain death?
abstract: We present a case of a 14-year-old boy with spontaneous intracranial hemorrhage that was referred to us to confirm the diagnosis of brain death with cerebral angiography. In the left carotid angiogram, there was no arterial flow above the craniovertebral junction. But in the right carotid angiogram, there was arterial flow up to the level of posterior communicating artery. Right posterior cerebral artery was filled with contrast medium via patent posterior communicating artery and later, an opacifying arteriovenous malformation (AVM) was detected which was also seen in the vertebral angiogram. Although the angiographic findings of the patient did not confirm the angiographic criteria for the diagnosis of brain death, it could not be also excluded because the only cerebral flow was the filling of the AVM and no other cerebral perfusion was detected.
authors.affiliation: Department of Radiology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Ergun
authors.forename: Erdem
authors.initials: E
authors.lastname: Birgi
authors.forename: Idil Gunes
authors.initials: IG
authors.lastname: Tatar
authors.forename: Mehmet Fevzi
authors.initials: MF
authors.lastname: Oztekin
authors.forename: Baki
authors.initials: B
authors.lastname: Hekimoglu
mesh_terms: D000293:Adolescent; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging*; D001926:Brain Death; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging*; D003287:Contrast Media; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media