Neurosurgery notes/Cerebellar AVM

Cerebellar AVM

Five Cerebellar AVM Subtypes

Subtype
Numbers
Location
Arterial supply
Venous drainage
Eloquence
20%
Unilateral, suboccipital cerebellar surface
below
Cortical branches of SCA, AICA, PICA
Inferior hemispheric veins, inferior vermian veins
Eloquent only if extending to deep cerebellar nuclei
20%
Unilateral, tentorial surface
Hemispheric branches of SCA
Superior hemispheric vein
Non-eloquent
30%
Midline
superior: lingula, central lobule, culmen, declive
inferior: folium, tuber, pyramid, uvula, nodule.
Bilateral
SCA (superior)
PICA (inferior)
Superior: Superior vermian vein/Galen
Inferior: inferior vermian vein/Torcula
Non-eloquent
8%
Cerebellar tonsils
Unilateral
Ipsilateral PICA
Medial and lateral tonsilar veins
Retro-tonsillar Vein
Non-eloquent
Petrosal surface
Unilateral
Cortical branches of AICA
Anterior Hemispheric Vein,
Vein of cerebellar pontine fissure
Superior petrosal vein
Superior petrosal sinus
Non-eloquent