Regarding a case of arteriovenous malformations of the left parietal lobe
Keywords:
informes de casos, lóbulo parietal, malformaciones arteriovenosas intracraneales, neuroimagen, radiocirugiaAbstract
Introduction: arteriovenous malformations are a rare disease of the central nervous system that occurs as a result of a fistulous connection between arteries and veins without intervention of the preexisting capillary bed. Its incidence is approximately 1.34 per 100,000 inhabitants in developed countries. It primarily affects men and the areas corresponding to the anterior, middle, and posterior cerebral arteries.
Objective: to describe a case of atypically located cerebral arteriovenous malformations in adults.
Case presentation: a case with varied characteristics was presented in which an arteriovenous malformation located in the left parietal lobe of the cerebral cortex was diagnosed by neuroimaging. In this patient, early medical intervention prevented the development of cerebral hemorrhage. She was successfully treated with Ganma Knife radiosurgery and progressed well without recurrence during follow-up.
Conclusions: the diagnosis of this condition is made using neuroimaging techniques in all patients with these symptoms. Ganma Knife radiosurgery may be the ideal therapy in some cases, but not in others; it all depends on how the patient is classified according to the Spetzler and Martin scale. This article provides solid evidence on the role of imaging in the diagnosis and preoperative stratification of these patients.
Downloads
References
1. García-Leonard JI, Sánchez-Lozano A, Valladares-Valle M. Hematoma intraparenquimatoso como inicio de una malformación arteriovenosa. Reporte de caso. Rev Finlay [Internet]. 2020 [citado 15 Jun 2025];10(4):445-51. Disponible en: http://scielo.sld.cu/pdf/rf/v10n4/2221-2434-rf-10-04-445.pdf
2. Fiallos-Brito EJ, Villacrés-Gavilanes SC. Malformación arteriovenosa cerebral. Presentación de un caso. Rev inf cient [Internet]. 2024 [citado 15 Jun 2025];103:e4465. Disponible en: https://revinfcientifica.sld.cu/index.php/ric/article/view/4465/6240
3. Nicolás-Cruz CF, Mondragón-Soto MG, Aguilar-Calderón JR, Melo-Guzmán G. Manejo bimodal de aneurismas asociados a malformaciones arteriovenosas cerebrales. Reporte de caso y breve revisión de la literatura. Cir cir [Internet]. 2020 [citado 15 Jun 2025];88(Suppl 2):79-83. Disponible en: https://www.scielo.org.mx/pdf/cicr/v88s2/0009-7411-cir-88-S2-79.pdf
4. Goland J. Malformaciones arteriovenosas cerebrales incidentales grado 1, 2, 3 en mi consultorio. Rev Argent Neuroc [Internet]. 2022 [citado 15 Jun 2025];36(4):1-4. Disponible en: https://www.ranc.com.ar/index.php/revista/article/download/466/631
5. Bokhari MR, Bokhari RA. Arteriovenous Malformation of the Brain [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 [citado 15 Jun 2025]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK430744/
6. Cordero-Campos A, Espíritu N, Ramírez-Espinosa A, Yaipen-Chancafe S, Medina-Bendezú D. Características clínico-epidemiológicas y manejo de las malformaciones arteriovenosas cerebrales en el Servicio de Neurocirugía del Instituto Nacional de Salud del Niño San Borja, 2015-2017. Horiz Med [Internet]. 2021 [citado 15 Jun 2025];21(2):e1332. Disponible en: file:///home/chronos/u-7c921175d59bca6c5d52d54924092787abecdc9f/MyFiles/Downloads/1332-Texto%20del%20art%C3%ADculo-5158-1-10-20210525%20(1).pdf
7. Spetzler RF, Martin NA. A proposed grading system for arteriovenous malformations. J Neurosurg 1986;65:476-83.
8. López-Flores G, Fernández-Melo R, Cruz-García O. Etiopatogenia y fisiopatología de las malformaciones arteriovenosas cerebrales. Arch Neurocien [Internet]. 2010 [citado 15 Jun 2025];15(4):252-59. Disponible en: https://www.medigraphic.com/pdfs/arcneu/ane-2010/ane104h.pdf
9. Miron I, Prună VM, Visarion DM, Petrescu GED, Gorgan RM. Natural History and Predictors for Hemorrhage in Supratentorial Brain Arteriovenous Malformations. J clin med [Internet]. 2024 [citado 15 Jun 2025];13(13):3760. Disponible en: https://www.mdpi.com/2077-0383/13/13/3760
10. Requejo F, Mengide JP, González-Dutra ML, Mantese B, Lipsich J. Malformaciones vasculares cerebrales de alto flujo en pediatría: experiencia en un hospital pediátrico de alta complejidad. Arch Argent Pediat [Internet]. 2021 [citado 15 Jun 2025];119(3):152-61. Disponible en: https://sap.org.ar/docs/publicaciones/archivosarg/2021/v119n3a04.pdf
11. González-Matos JC, Dos Santos-Poleo Y, Pérez-Sánchez LI, Álvarez De Eulate-Garcia MT, Montesinos O, Barjau JJ, et al. Manejo diagnóstico no intervencionista de las malformaciones vasculares cerebrales. seram [Internet]. 2022 [citado 15 Jun 2025];1(1):[aprox. 13 p.]. Disponible en: https://piper.espacio-seram.com/index.php/seram/article/view/9409/7875
12. Kocur D, Przybytko N, Hofman M, Jamróz T, Ignatowicz A, Baron J, et al. Endovascular treatment of small cerebral arteriovenous malformations as a primary therapy. Pol J Radiol [Internet]. 2018 [citado 15 Jun 2025];83(1):e143-50. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC6047079/pdf/PJR-83-32749.pdf
13. Nesbit GM. Neurovascular disease and syndromes: Diagnosis and therapy in children. Handbook Clin Neurol [Internet]. 2021 [citado 15 Jun 2025];176(3):305-23. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/B9780444640345000158
14. Brauner R, Smajda S, Chauvet D, Aldea S, Escalard S, Désilles JP, et al. Curative Treatment of Brain Arteriovenous Malformations Combining Endovascular and Surgical Approaches Consecutively. World neurosurg [Internet]. 2025 [citado 15 Jun 2025];197:123896. Disponible en: https://www.sciencedirect.com/science/article/pii/S1878875025002529/pdfft?md5=541f764fa148858767f23416a14d3c51&pid=1-s2.0-S1878875025002529-main.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Rolando Dornes Ramón, Yander Luis Izaguirre Campillo , Lizandra Pujol Arias

This work is licensed under a Creative Commons Attribution 4.0 International License.
Those authors who have publications with this journal accept the following terms of the License CC Attribution-NonCommercial 4.0 International (CC BY-NC 4.0):
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
The journal is not responsible for the opinions and concepts expressed in the works, which are the exclusive responsibility of the authors. The Editor, with the assistance of the Editorial Committee, reserves the right to suggest or request advisable or necessary modifications. Original scientific works are accepted for publication, as are the results of research of interest that have not been published or sent to another journal for the same purpose.
The mention of trademarks of specific equipment, instruments or materials is for identification purposes, and there is no promotional commitment in relation to them, neither by the authors nor by the editor.

















