Watch this case recorded at Bicêtre Hospital involving a 66-year-old woman with no significant medical history.
She presented with a thunderclap headache, vomiting, vertigo, and a Glasgow score of 13 (M6, Y3, V5), along with cerebellar syndrome on neurological examination.
A CT scan revealed a cerebellar hematoma. Six weeks later, follow-up showed favourable evolution in the ICU, partial improvement of the cerebellar syndrome after rehabilitation, with persistent ataxia and a cerebellar lesion (mRS 2).
Angiogram eventually revealed a vermian AVM, which was treated using both arterial (femoral) and venous (right jugular) access, with SQUID 18 LD and SQUID 12 as embolic agents.
Watch how this complex malformation was managed in a real clinical setting.