Clinical, MR, and angiographic findings of aggressive DAVF involving the cerebellar hemisphere

CharacteristicPatient 1Patient 2Patient 3Patient 4Patient 5Patient 6
Age (y)/sex73/M67/M72/M88/F79/M59/M
 Clinical findingsIncoordination, ataxiaVomitting, dizzinessImbalance, fatigueImbalance, ataxiaHemiplegia, ataxiaAtaxia
 HemisphereRightRightRightLeftLeftLeft
MR findings
 TopographyInferior aspect of cerebellar hemisphereInferior aspect of cerebellar hemisphereInferior aspect of cerebellar hemisphereInferior aspect of cerebellar hemisphereInferior aspect of cerebellar hemisphereInferior aspect of cerebellar hemisphere
 Signal void lesions++++++++++
 T1 SILowLowLowLowLowLow
 T2 SIHighHighHighHighHighHigh
 Gd-enhancementPeripheralPeripheralPeripheralPeripheralPeripheralPeripheral
Angiographic findings
 ICA feedersNoNoNoNoNoC5 branch
 ECA feedersOccipital a., ascending pharyngeal a.NoneOccipital a., ascending pharyngeal a.Occipital a.Occipital a.Occipital a., ascending pharyngeal a.
 VA feedersArtery of falx cerebelli, meningeal artery of cerebellar fossaArtery of falx cerebelliArtery of falx cerebelli, meningeal artery of cerebellar fossaArtery of falx cerebelliMeningeal artery of cerebellar fossaMeningeal artery of cerebellar fossa
 Venous drainageInferior hemispheric veinInferior hemispheric veinInferior vermian vein to inferior hemispheric veinInferior hemispheric veinInferior hemispheric veinInferior vermian vein to inferior hemispheric vein
  • Notes.—+ indicates few; ++, prominent; +++, significant; T1, T1-weighted images; T2, T2-weighted images; SI, signal intensity; Gd, gadolinium-enhanced T1-weighted images; ICA, internal carotid artery; ECA, external carotid artery; VA, vertebral artery; a, artery.