Document Detail

A glioma with an arteriovenous malformation: an association or a different entity?
MedLine Citation:
PMID:  14740271     Owner:  NLM     Status:  MEDLINE    
A 58-year-old male was admitted with headache to our neurosurgery clinic. His neurological examination revealed slight left hemiparesis. The radiological evaluation with contrast administred magnetic resonance imaging (MRI) scan demonstrated a right temporo-parietal ring enhancing mass lesion surrounded by edema which was resembling a typical glioma (Fig. 1). The patient was operated on via a temporo-parietal craniotomy and an arteriovenous malformation surrounded by abnormal glial tissue was observed during the exposure. A nidus supplied by several branches arising from the middle cerebral artery (MCA) was obvious. The venous drainage of the malformation was to the superficial venous system. The observed arterial feeders and the draining vein were coagulated and the nidus was macroscopically totally excised. The frozen examination from surrounding glial tissue revealed a high grade glioma. The tumor was also macroscopically totally excised. Postoperatively, the cerebral angiogram demonstrated a right temporal arteriovenous malformation with a centrally excised nidus. The remaining major feeders involved the angular gyrus and the posterior temporal arteries. The venous drainage was to the straight and sigmoid sinuses (Fig. 2). The final histopathological examination of the specimen revealed an arteriovenous malformation surrounded by a high grade glioma (Fig. 3). The patient refused a second operation for total removal of the AVM. Postoperatively, he is doing well with improvement of his left hemiparesis.
I M Ziyal; K Ece; B Bilginer; G G Tezel; O E Ozcan
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2003-12-05
Journal Detail:
Title:  Acta neurochirurgica     Volume:  146     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-01-23     Completed Date:  2004-10-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  83-6; discussion 86     Citation Subset:  IM    
Department of Neurosurgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
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MeSH Terms
Brain Neoplasms / complications*,  surgery*
Glioma / complications*,  surgery*
Headache / etiology
Intracranial Arteriovenous Malformations / complications*,  surgery*
Middle Aged
Neurosurgical Procedures / methods*
Paresis / etiology
Treatment Outcome

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