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Teaching NeuroImages: Spontaneous involution of symptomatic delayed tumefactive cyst following radiosurgery for AVM

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A 65-year-old woman underwent radiosurgery for a left temporal arteriovenous malformation (AVM) (figure 1A). Follow-up MRI/magnetic resonance angiography 3 years later demonstrated postradiation changes (figure 1B) and AVM resolution (figure… Click to show full abstract

A 65-year-old woman underwent radiosurgery for a left temporal arteriovenous malformation (AVM) (figure 1A). Follow-up MRI/magnetic resonance angiography 3 years later demonstrated postradiation changes (figure 1B) and AVM resolution (figure 2). Six years posttreatment, she had progressive headaches and aphasia and a large cyst (figure 1C). Her symptoms resolved acutely without treatment. MRI 3 months later showed reduction of the cyst with mass effect resolution related to spontaneous fenestration in the ventricle (figure 1D).

Keywords: figure; cyst; radiosurgery; neuroimages spontaneous; spontaneous involution; teaching neuroimages

Journal Title: Neurology
Year Published: 2017

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