Cerebral Proliferative Angiopathy: A Rare Case with Rare Presentation and Rarer Angiographic Features

Introduction

“Cerebral proliferative angiopathy” (CPA) is a distinct entity unlike “classical” brain arteriovenous malformations (AVMs).

Report

We describe a patient with seizure who on DSA showed diffuse angiogenesis, absence of a well formed nidus and early venous phase suggestive of fast capillary transit favouring diagnosis of CPA alongwith filling of ophthalmic artery through middle meningeal branch of external carotid artery which made it even rarer. Treatment options are limited and vary with the patient's presentation and angiographic features.

Conclusion

CPA is rare and filling of ophthalmic artery from middle meningeal artery in association with CPA is even rarer.