Frontiers in Surgery (Dec 2022)

Spontaneous regression of multiple flow-related aneurysms following treatment of an associated brain arteriovenous malformation: A case report

  • Lukas Andereggen,
  • Lukas Andereggen,
  • Philipp Gruber,
  • Javier Anon,
  • Angelo Tortora,
  • Hans-Jakob Steiger,
  • Gerrit A. Schubert,
  • Serge Marbacher,
  • Serge Marbacher,
  • Luca Remonda,
  • Luca Remonda

DOI
https://doi.org/10.3389/fsurg.2022.860416
Journal volume & issue
Vol. 9

Abstract

Read online

IntroductionThere is no consensus in the treatment strategy of intracranial aneurysms (IAs) associated with brain arteriovenous malformation (BAVM). In particular, it is unknown if a more aggressive approach should be considered in patients harboring a BAVM, in whom multiple aneurysms or a history of aneurysmal subarachnoid hemorrhage (aSAH) is present.Case presentationWe report on an elderly woman harboring multiple aneurysms with a history of SAH due to rupture of an unrelated IA. On evaluation, she was also found to harbor a contralateral, left parietal convexity BAVM. Following resection of the latter, spontaneous regression of two large flow-related aneurysms was encountered.DiscussionWe discuss the therapeutic decision-making, risk stratification, and functional outcome in this patient with regard to the pertinent literature on the risk of hemorrhage in IAs associated with BAVM.

Keywords