Giant arteriovenous malformation. About a case

Cerebral arteriovenous malformations constitute a group of rare diseases, and are located in deep vascular territories of the brain. They consist of vascular anomalies of congenital origin or predisposition from the pathological development of the capillary network that allow direct connections between arteries and cerebral veins that may or may not have shunts or arteriovenous shunts. Its frequency, unlike aneurysms, is ten times smaller, being the main cause of bleeding at the subarachnoid level. Its incidence is usually from the 4th decade of life with predominance in the male sex. We present the case of a 63-year-old mate without comorbidities or previous pathologies that starts with sudden consciousness disorder, CT scan and cerebral angioTEM, and giant arteriovenous malformation occupying the right hemisphere; arteriovenous malformation type lila according to Spetzler-Martin and Hunt-Hess of 0.