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J Neurol Neurosurg Psychiatry 2007;78:81 doi:10.1136/jnnp.2006.098517
  • Neurological picture

A case of brain embolism during catheter embolisation of head arteriovenous malformation. What is the mechanism of stroke?

  1. Y Iguchi,
  2. K Kimura
  1. Department of Stroke Medicine, Kawasaki Medical School, Kurashiki-City, Japan
  1. Correspondence to:
 Y Iguchi
 Department of Stroke Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki-city, Okayama 701-0192, Japan; yigu{at}med.kawasaki-m.ac.jp

    A 52-year-old man presented with facial swelling owing to progression of arteriovenous malformation (AVM). Angiography under endotracheal anaesthesia showed the right internal maxillary, right ascending pharyngeal and right superficial temporal arteries feeding an AVM (fig 1A). Clear connections to the intracranial circulation were not found. Vessels were embolised using N-butyl-2-cyanoacrylate and iodinated oily x ray contrast medium comprising 40% iodine in poppy seed oil (Lipiodol; Terumo, Tokyo, Japan; fig 1B).

    Figure 1

     (A) …

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