Annals of Indian Academy of Neurology
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Glioblastoma Multiforme Associated with Arteriovenous Malformation: A Case Report and Literature Review


1 Department of Surgery, Division of Neurosurgery, Prince of Songkla University, Songkhla, Thailand
2 Department of Pathology, Faculty of Medicine, Songklanagarind Hospital, Prince of Songkla University, Songkhla, Thailand

Correspondence Address:
Thara Tunthanathip,
Department of Surgery, Division of Neurosurgery, Faculty of Medicine, Prince of Songkla University, Hatyai, Songkhla 90110
Thailand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aian.AIAN_219_18

Although microvascular proliferation can be observed in glioblastoma, obvious vascularity coupled with coexisting cerebral arteriovenous malformation (AVM) is extremely rare. This report is of a rare case of glioblastoma, coexisting with a cerebral AVM. A 20-year-old male presented with progressive right hemiparesis within 1 month. Cranial magnetic resonance imaging revealed a large bleeding tumor with surrounding dilated vessels. Cerebral angiography demonstrated a left frontal AVM with a 1.2 cm nidus. The patient underwent preoperative embolization and radical resection. The coincidence of glioma and AVM was a rare association. However, the concept of hypervascular glioblastoma has been used in different states from different literature reviews; therefore, the role of proangiogenic factors should be addressed.


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