Bilateral Congenital Arteriovenous Communications (Aneurysm) of the Cerebral Vessels

CEREBRAL arteriovenous aneurysms have frequently been recorded in the literature. However, prior to the brief account of this case1the occurrence of bilateral cerebral arteriovenous communications had not been reported. A more detailed description of this case, amplified with illustrations and photographs, seems desirable at this time, in the light of the disclosure at operation and necropsy of a second case by one of us (R.J.) reported in theArchivesby Alpers and Forster,2and 2 similar cases described by Russell and Nevin.3The case here reported is also of unusual interest because of the prolonged period of observation and the opportunity for thorough study at frequent intervals from birth until death, at the age of 4½ years. REPORT OF A CASE4 S. K., a male infant weighing 9½ pounds (4,310 Gm.), was delivered with difficulty by forceps. Respiration began immediately, but about two minutes later