• Ayman Khalil, Hong Kuan Kok, Paul Brennan, Mohsen Javadpour, Daniel Rawluk, and Hamed Asadi.
• Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland. Electronic address: aymantawfig@yahoo.com.
• World Neurosurg. 2016 Oct 1; 94: 581.e1-581.e4.

BackgroundBleeding secondary to recurrences of spontaneously obliterated arteriovenous malformations (AVMs) is an extremely rare occurrence.Case DescriptionWe report a 25-year-old man with cerebellar hemorrhage secondary to a recurrent AVM. His current admission with bleeding from a ruptured cerebellar AVM followed a previous presentation 15 years earlier with the similar clinical picture of AVM rupture within the same vascular territory. At that time, he was managed conservatively with follow-up digital subtraction angiography (DSA) 2 years later, confirming no residuum of the AVM. At the current presentation, he had DSA confirming AVM recurrence. He was managed by complete excision of the AVM via a suboccipital craniotomy.ConclusionThis case illustrates the need for long-term imaging follow-up to exclude recanalization even many years after AVM obliteration.Copyright © 2016 Elsevier Inc. All rights reserved.

19 keywords...

hide…