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Fig. 1 | Radiation Oncology

Fig. 1

From: Late complications of radiosurgery for cerebral arteriovenous malformations: report of 5 cases of chronic encapsulated intracerebral hematomas and review of the literature

Fig. 1

Case 1. A 27-year-old woman presented with hemorrhage due to a left temporal AVM. After partial treatment with embolization, 18 Grays were delivered to the margin of the lesion with a collimator of 20 mm. Twelve years post SRS the patient complained of chronic headache. a Axial Flair and (b) axial T1 contrast enhanced images showed a large heterogeneous well delineated cavernoma-like lesion. Surgery was initially recused because of the deep location and the mild symptoms of the patient. b Axial Flair, c axial T2* MRI images 2 years later showed lesion growth which was surgically removed. d Histology revealed an angiomatous pseudo-cavernous lesion containing dilated vascular lumen, fibrino-hemorraghic changes and fibrosis (hematoxylin, eosin and saffron, × 100)

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