Computed tomography angiography in the diagnosis of arteriovenous malformations


  • Zulejha Merhemic Sunce Agram Polyclinic, Sarajevo, Bosnia and Herzegovina
  • Lidija Lincender Academy of Science and Arts of Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina
  • Emir Guso General Hospital, Sarajevo, Bosnia and Herzegovina
  • Emina Bicakcic University Clinical Center of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Edin Avdagic Al-Tawil Polyclinic, Sarajevo, Bosnia and Herzegovina
  • Majda M Thurnher Department of Biomedical Imaging and image guided therapy, Medical University Vienna, Austria



Introduction: The most common cause of intracranial bleeding in younger patients and children are vascular anomalies. Digital subtractions angiography presents a gold standard in diagnostics of aneurisms and vascular malformations. Our aim is to present our experience in using computed tomography angiography in diagnosing arteriovenous malformations.

Methods: We included 150 patients with acute non-traumatic intracranial hemorrhage diagnosed by non-contrast CT examination, after which they were subjected to CT angiography of the cerebral vessels, and then underwent maximum intense projection and volume rendering reconstruction.

Results:  Out of 150 patients with non-traumatic intracranial hemorrhage, in 121 (81%) a diagnosis of  aneurysm was rendered, while in 8 (5%) arteriovenous malformation was found. In 29 (14%) patients cause of bleeding was not identified. Patients with arteriovenous malformations, were age 17-77 years, with mean age 42.75 years. Five (62.5%) of them were female patients and three (37.5%) were male.

Conclusion: Spontaneous non-traumatic intracranial hemorrhage is a significant cause of morbidity and mortality. Computed tomography angiography is sufficiently specific and sensitive in diagnosis of arteriovenous malformations in our experience.


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Computed tomography angiography in the diagnosis of arteriovenous malformations. JHSCI [Internet]. 2018 Apr. 3 [cited 2024 Apr. 24];8(1):73-7. Available from: