Fig. 1

Serial MRI after AVM treatment with SRS showing an enlarging left occipital cystic formation with mass effect and edema. A Axial T2-weighted and B sagittal gadolinium-enhanced T1-weighted MRI 10 years after SRS treatment showed a cystic formation (11 × 16 × 15 mm) surrounded by vasogenic edema, adjacent to a contrast-enhancing angiomatous nodule. C Coronal T2-weighted, D sagittal gadolinium-enhanced T1-weighted, E axial T2-weighted MRI 1 year later (11 years post-SRS treatment) showing a significant enlargement of the cystic formation (70 × 35 × 50 mm), now multiloculated, and of the associated vasogenic edema with contralateral midline shift and incipient subfalcine herniation. The contrast-enhancing angiomatous nodule persists