Elsevier

Surgical Neurology

Volume 23, Issue 4, April 1985, Pages 362-366
Surgical Neurology

Prognosis for arteriovenous malformations of the brain in adults based on 150 cases

https://doi.org/10.1016/0090-3019(85)90207-1Get rights and content

Abstract

Arteriovenous malformations of the brain generally make their presence felt before the age of 40 through cerebro-meningeal hemorrhage (83 cases) or epilepsy (47 cases). In our series, 128 patients were operated upon and total resection of the malformation was performed on 119 occasions. The operative mortality rate was 12.5% and there were 70.3% good results from a long-term point of view. The essential benefit from surgical treatment is the elimination of the risk of hemorrhage. The effect on epilepsy is much less, and the natural development of nonhemorrhagic forms is not unfavorable over the long term. The prognosis for surgical treatment is linked to the size and the topography of the malformation, the number and the origin of the arterial afferent vessels, and, above all, to the mode of drainage into the venous system that may be malformed.

References (15)

  • O Waltimo

    The relationship of size, density and localisation of intracranial arteriovenous malformation to the type of initial symptom

    J Neurol Sci

    (1973)
  • G Aimard et al.

    Les angiomes artério-veineux intracracrâniens de l'adulte (100 observations)

    Nouv Presse Méd

    (1982)
  • P Dobbelaere et al.

    Intérêt pronostique de l'etude du drainage veineux des anévrysmes artério-veineux cérébraux

    Neurochirurgie

    (1979)
  • DMC Forster et al.

    Arteriovenous malformation of the brain

  • B Guidetti et al.

    Intracranial arteriovenous malformations conservative and surgical treatment

    J Neurosurg

    (1980)
  • E Laine et al.

    Traitement des anévrysmes artério-venieux des zones du langage

    Neurochirurgie

    (1980)
  • E Laine et al.

    Les malformations artério-veineuses cérébrales profondes

    Neurochirurgie

    (1981)
There are more references available in the full text version of this article.

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