Presentation
Weakness
Patient Data
Nidus of abnormal serpiginous blood vessels is seen in right parietooccipital lobe. Right posterior cerebral artery seems to reach upto the nidus. Theres is possibly a trifurcation variant anatomy of anterior cerebral arteries with a prominent right cerebral artery. Venous drainage is possibly into adjacent cortical veins and superior sagittal sinus.
Late subacute hematoma measuring approximately 35 x 15 x 36 mm is seen in right parietal lobe, at lateral aspect of above-mentioned nidus of blood vessels.
Few prominent leptomeningeal and dural vessels are also seen in right parietooccipital region.
Chronic lacunar infarcts anterior ischemic demyelination are seen in bilateral fronto-parietal deep and subcortical white matter.
Asymmetric prominence of right lateral ventricle is seen. Bilateral convexity sulci and left lateral ventricle are mildly prominent, likely age-related.
Case Discussion
Findings are suggestive of an arteriovenous malformation with subacute hematoma adjacent to it. Digital subtraction angiography was advised for further evaluation and management.