Clinical, MR, and angiographic findings of aggressive DAVF involving the cerebellar hemisphere
Characteristic | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 |
---|---|---|---|---|---|---|
Age (y)/sex | 73/M | 67/M | 72/M | 88/F | 79/M | 59/M |
Clinical findings | Incoordination, ataxia | Vomitting, dizziness | Imbalance, fatigue | Imbalance, ataxia | Hemiplegia, ataxia | Ataxia |
Hemisphere | Right | Right | Right | Left | Left | Left |
MR findings | ||||||
Topography | Inferior aspect of cerebellar hemisphere | Inferior aspect of cerebellar hemisphere | Inferior aspect of cerebellar hemisphere | Inferior aspect of cerebellar hemisphere | Inferior aspect of cerebellar hemisphere | Inferior aspect of cerebellar hemisphere |
Signal void lesions | ++ | + | ++ | + | + | +++ |
T1 SI | Low | Low | Low | Low | Low | Low |
T2 SI | High | High | High | High | High | High |
Gd-enhancement | Peripheral | Peripheral | Peripheral | Peripheral | Peripheral | Peripheral |
Angiographic findings | ||||||
ICA feeders | No | No | No | No | No | C5 branch |
ECA feeders | Occipital a., ascending pharyngeal a. | None | Occipital a., ascending pharyngeal a. | Occipital a. | Occipital a. | Occipital a., ascending pharyngeal a. |
VA feeders | Artery of falx cerebelli, meningeal artery of cerebellar fossa | Artery of falx cerebelli | Artery of falx cerebelli, meningeal artery of cerebellar fossa | Artery of falx cerebelli | Meningeal artery of cerebellar fossa | Meningeal artery of cerebellar fossa |
Venous drainage | Inferior hemispheric vein | Inferior hemispheric vein | Inferior vermian vein to inferior hemispheric vein | Inferior hemispheric vein | Inferior hemispheric vein | Inferior 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.