Feeding artery pedicle aneurysms: association with parenchymal hemorrhage and arteriovenous malformation in the brain.

Abstract:

:The association between arteriovenous malformations (AVM's) and aneurysms is well documented in the literature. However, a specific type of aneurysm, termed a "pedicle" aneurysm, has received little attention despite its role as a primary source of hemorrhage. The authors report four recent cases of patients with cerebral AVM's who bled from aneurysms arising from the midportion of AVM-feeding artery pedicles. Angiography, computerized tomography, and magnetic resonance imaging confirmed the origin of the hemorrhage from the pedicle aneurysm in each case. Because pedicle aneurysms are at risk for recurrent rupture, they represent an important subclassification of aneurysms associated with AVM's. The authors have expanded the previous classification systems for aneurysms associated with AVM's to include pedicle aneurysms; this classification is based on the location of the aneurysm and its relationship to the malformation. Complete documentation of such aneurysms as the potential source of hemorrhage is recommended, and prompt intervention by embolization and/or surgical resection is indicated for this dangerous aneurysm associated with cerebral AVM's.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Perata HJ,Tomsick TA,Tew JM Jr

doi

10.3171/jns.1994.80.4.0631

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

631-4

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

80

pub_type

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