[Spontaneous disappearance of intracranial arteriovenous malformation after living-donor liver transplantation: a case report]

No Shinkei Geka. 2011 Jun;39(6):589-94.
[Article in Japanese]

Abstract

In this report, the authors describe a 35-year-old male whose intracranial arteriovenous malformation (AVM) spontaneously disappeared about 2 years after successful living-donor liver transplantation for alcohol-induced liver cirrhosis. Preoperative screening MRI revealed intracranial arteriovenous malformation (AVM) around the midbrain. Cerebral angiography demonstrated that the AVM was fed by the paramedian mesencephalic arteries and was drained via the vein of Galen. He successfully underwent living-donor liver transplantation, and his postoperative course was uneventful. Follow-up MRI and MRA revealed spontaneous disappearance of the AVM 27 months after surgery. The authors discuss precisely the underlying mechanism of this rare phenomenon, based on thorough literature review.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Cerebral Angiography
  • Humans
  • Intracranial Arteriovenous Malformations*
  • Liver Cirrhosis, Alcoholic / surgery
  • Liver Transplantation*
  • Living Donors*
  • Male
  • Remission, Spontaneous