Bibliogr. s. 94

We report the case of a 48-year-old woman with right occipito-temporal AVM associated with two flow-related aneurysms. One of the aneurysms was located on the junction of P1/P2 segments of the right posterior cerebral artery (PCA), the second one- on the right carotid internal artery (ICA). The patient suffered from migraine headache, epilepsy (resistant to treatment) and left hemiparesis. The decision to treat the AVM and the aneurysms with endovascular embolisation was made. The purpose of the treatment was to occlude the flow-related aneurysm which was located on the main access route to the AVM first, and then to carry out the embolisation of the latter. An attempt of aneurysm embolisation failed due to its large neck as well as high, turbulent flow inside the sac which prevented from anchoring any coil. An embolisation of an AVM via right ICA and posterior communicating artery was undertaken and resulted in 80% reduction of the AVM nidus volume. Control angiogram after 2 months showed complete occlusion of the AVM and lack of filling of the right P1/P2 junction aneurysm.