PTEN Hamartoma Syndrome

AVM (Arteriovenous malformation) which is an abnormal connection between arteries and veins.  

Angiogram: special type of x-ray of blood vessels.

PTEN Hamartoma syndrome- PTEN germ mutations. These patient have macrocephaly which is an abnormally large head. Also, there are shunts that drain varices which involve muscle, so it not something you can cut out. The goals to palate his pain from transarterial approach accessing the artery to the avm. The key is to control his pain, even though we haven’t cured his syndrome or his avm.