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Massive Resting Shunt on c-TCD: A Clue to Pulmonary Arteriovenous Malformation in a Young Stroke Patient

Year: 2026

Type: article

Abstract: A 17-year-old female teen presented with migraine with visual aura.Brain magnetic resonance imaging demonstrated a hyperintense area on diffusion-weighted imaging with corresponding hypointensity on the ADC adjacent to the right cerebral aqueduct [also hyperintense on fluid-attenuated inversion recovery, indicating an acute ischemic infarction (Figures 1a-c)].No traditional cerebrovascular risk factors were identified.A right-to-left shunt was considered owing to the combination of early-onset cryptogenic stroke, migraine with aura, and a family history of persistent epistaxis affecting her mother, grandfather, and all four maternal aunts.1,

Source: Balkan Medical Journal

DOI: 10.4274/balkanmedj.galenos.2026.2025-12-181

Authors: Fubo Zhou, Ruili Li, Yingqi Xing

Institutions: Capital Medical University, Xuan Wu Hospital of the Capital Medical University

Language: English

Topic: Vascular Anomalies and Treatments

Subfield: Genetics

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funder: National Science and Technology Major Project