Download - Vascular malformations gc
![Page 1: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/1.jpg)
VASCULAR MALFORMATIONS. GENERAL
CONSIDERATIONS
Cristina Caterina Aldea
Scientific Coordinator: Professor Ioan Ştefan Florian MD, PhD
“Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca
![Page 2: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/2.jpg)
Non-neoplastic Vascular Malformations of the Brain
1. Arteriovenous Malformations (AVMs)
2. Venous Angioma
3. Cavernoma
4. Capillary Teleangiectasia
5. Direct Fistula
( McCormick-1966 )
![Page 3: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/3.jpg)
Arteriovenous Malformations
![Page 4: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/4.jpg)
Arteriovenous Malformations
![Page 5: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/5.jpg)
Patophysiology
![Page 6: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/6.jpg)
![Page 7: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/7.jpg)
Clinical presentation
1. Hemorrhage - most common
- 82% significant IP component
- SAH, IVH
2. Seizures
3. Mass effect ( increased ICP )
4. Progressive Neurologic Deficit
7% of patients with AVMs present associated aneurysms
![Page 8: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/8.jpg)
Imaging studies
CT scan
CT angiography
MRI / angio - MRI
Cerebral angiography
![Page 9: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/9.jpg)
![Page 10: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/10.jpg)
Cavernomas
= cavernous angioma, cavernous hemangioma
![Page 11: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/11.jpg)
Clinical presentation
Seizures
Progressive Neurological Deficit
Hemorrhage ( usually IP )
> 50 % asymptomatic
![Page 12: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/12.jpg)
Imaging Studies
CT
MRI - hemosiderine ring ( “salt and pepper” appearance )
Angiography – “angiographically occult”
![Page 13: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/13.jpg)
![Page 14: Vascular malformations gc](https://reader036.vdocument.in/reader036/viewer/2022081413/5497f343b479590c4e8b4587/html5/thumbnails/14.jpg)
Thank you for your attention!