1naresh
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AVM S-M Grade Location Amount of Onyx Injected Complication Clinical Treatment Outcome 3 Right frontoparietal 3.4 mL 1st Session Intracerebral hemorrhage due to rupture of a feeding artery while retrieving the microcatheter (Marathon) Immediate deterioration Urgent craniotomy AVM closed, severe disability 4 Right thalamic 2 mL 2nd Session Extravasation of contrast from small feeder due to puncture with guidewire Left hemiparesthesia Conservative Mostly resolved; left with mild hypoesthesia (good recovery) 4 Right frontal 7 mL 2nd Session Small intracerebral hemorrhage due to extravasation of Onyx from vessel Left hemiparesis Conservative Resolved in 3 months (good recovery) 3 Left temporal 5.3 mL 1st Session Subarachnoid hemorrhage due to forced retrieval of catheter from Onyx cast that passed SONIC third marker Dysphasia Conservative Mild dysphasia resolved within 6 months (good recovery) 4 Left parietal 2 mL 3rd Session Small intracerebral hemorrhage 2 days after treatment, most probably due to venous occlusion No new deficit Conservative (Good recovery) 3 Right parietal 6.7 mL 1st Session Small intracerebral hemorrhage due to venous congestion, after complete occlusion in 1 session (Fig 3) Left proprioception deficit Conservative Resolved in 2 weeks, complete occlusion on angio follow-up (good recovery) 3 Left fronto-opercular 4 mL 1st Session Intracerebral hemorrhage due to venous congestion, after complete occlusion in 1 session Seizure and right hemiparesis Urgent craniotomy for hematoma evacuation Mild short memory deficit (good recovery)