caa a22 4500 445355999 CHVBK 20180317142900.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s10072-010-0472-5 doi (NATIONALLICENCE)springer-10.1007/s10072-010-0472-5 A case of complex arteriovenous malformation with skull destruction presented in sixth decade of life [Elektronische Daten] [Stevo Lukic, Mirjana Spasic, Zoran Peric, Dejan Savic, Slobodan Vojinovic, Dragan Stojanov, Srdjan Ljubisavljević] Intracranial AVMs are typically diagnosed before the patient has reached the age of 40years, and a few cases have been reported of AVM with skull destruction. We described a rare case of a complex cerebral AVM with skull destruction, presented de novo in 52-year-old woman with epileptic seizures. Neuroimaging investigations revealed complex AVM in right hemisphere as well as extracranially, with signs of skull destructions, likely caused by significant involvement of feeders from external carotid artery. Neurosurgery treatment was not recommended due to morphological characteristics and drainage patterns of the AVM. EEG investigation showed discrete specific activity in correspondent area and pharmacology treatment for seizures was initiated. One year after the initial presentation patient had survived rebleeding episode witch left permanent neurology deficit. This patient considered as a rare case of complex AVM with skull destruction, presented de novo in sixth decade of life. Springer-Verlag, 2011 Brain arteriovenous malformation nationallicence Skull destruction nationallicence Epilepsy nationallicence Rebleeding nationallicence Treatment outcome nationallicence Natural history nationallicence Lukic Stevo Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut Spasic Mirjana Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut Peric Zoran Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut Savic Dejan Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut Vojinovic Slobodan Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut Stojanov Dragan Institute of Radiology, University Clinical Center Nis, Nis, Serbia aut Ljubisavljević Srdjan Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut Neurological Sciences Springer Milan 32/3(2011-06-01), 479-482 1590-1874 32:3<479 2011 32 10072 https://doi.org/10.1007/s10072-010-0472-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-010-0472-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lukic Stevo Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut NATIONALLICENCE 700 1- Spasic Mirjana Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut NATIONALLICENCE 700 1- Peric Zoran Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut NATIONALLICENCE 700 1- Savic Dejan Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut NATIONALLICENCE 700 1- Vojinovic Slobodan Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut NATIONALLICENCE 700 1- Stojanov Dragan Institute of Radiology, University Clinical Center Nis, Nis, Serbia aut NATIONALLICENCE 700 1- Ljubisavljević Srdjan Clinic of Neurology, University Clinical Center Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32/3(2011-06-01), 479-482 1590-1874 32:3<479 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer