Cerebral digital subtraction angiography in a patient with vasospasm after rupture of a BAVM. Cerebral digital subtraction angiography performed 11 days after intraventricular hemorrhage in a 33-year-old patient with two brain arteriovenous malformations (BAVMs): a ruptured BAVM in the right frontal lobe and an intact BAVM in the left temporal lobe. Right internal carotid artery (ICA) injection, anteroposterior (AP) (A) and lateral (B) views: severe vasospasm of the M1 segment of the right middle cerebral artery (black arrow) and terminal right internal carotid artery (black arrowhead). Small frontal BAVM (double white arrow). Left ICA injection, AP view (C): severe vasospasm of the M1 segment (black arrow). The other BAVM is visible in the temporal lobe (triple white arrow). Cerebral CT scan (D): vasospasm-associated cerebral infarction in both the left middle and the left anterior cerebral arteries (**). Note the remnant of the intraventricular hemorrhage (white arrow).