Brain AVM (arteriovenous malformation)

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Tests and diagnosis

By Mayo Clinic staff

Diagnosing a brain AVM usually begins with a thorough medical exam by a doctor who specializes in conditions of the brain and nervous system (neurologist). Depending on those results, the doctor may request one or more tests. Imaging tests are usually conducted by radiologists who specialize in imaging the brain and nervous system.

Three main tests are used to diagnose brain AVMs:

  • CT scan and CTA. A computerized tomography (CT) scan takes pictures of the brain using X-rays. Sometimes dye is injected through an intravenous tube in a vein so that the arteries feeding the AVM and the veins draining the AVM can be viewed in greater detail. This is called a computerized tomography angiogram (CTA).
  • MRI and MRA. Magnetic resonance imaging (MRI), more sensitive than CT in showing AVM, creates images using a large magnet and radio waves. MRI also provides information about the exact location of the malformation, which is very important for determining treatment options. Dye can also be injected to better see the blood circulation in the brain. This is called a magnetic resonance angiogram (MRA).
  • Cerebral arteriography. Cerebral arteriography (also known as cerebral angiography) is the most detailed test and the best way to diagnose an AVM. The test reveals the location and characteristics of the feeding arteries and draining veins. A thin tube is inserted into an artery in the groin. This tube is threaded up toward the brain to the blood vessels. Dye is injected into the blood vessels of the brain and X-rays are taken.
References
  1. Chung CS, et al. Stroke and other neurovascular disorders. In: Goetz CG. Textbook of Clinical Neurology. 3rd ed. Philadelphia, Pa.: Elsevier Saunders; 2007. http://www.mdconsult.com/das/book/body/113422743-8/782331384/1488/384.html#4-u1.0-B978-1-4160-3618-0..10045-1--s0670_3824. Accessed Dec. 11, 2008.
  2. Arteriovenous malformations and other vascular lesions of the central nervous system fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/avms/detail_avms.htm. Accessed Dec. 11, 2008.
  3. Higashida RT. What is an arteriovenous malformation (AVM)? American Stroke Association. http://www.americanheart.org/downloadable/stroke/1095279678689What_Is_an_Arteriovenous_Malformation_Final%20Science%20review%206-03-03%20vF3.pdf. Accessed Dec. 11, 2008.
  4. Singer RJ, et al. Brain arteriovenous malformations. http://www.uptodate.com/home/index.html. Accessed Dec. 11, 2008.
  5. Aminoff MJ. Nervous system disorders. In: McPhee SJ, et al. Current Medical Diagnosis and Treatment. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/content.aspx?aID=12814. Accessed Dec. 11, 2008

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Feb. 13, 2009

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