ANGIOARCHITECTURE AND CLINICAL PRESENTATION OF BRAIN ARTERIOVENOUS MALFORMATIONS

被引：14

作者：

Tostes dos Santos, Marcio Luiz ^{[1
]}

Demartini Junior, Zeferino

Dias Matos, Luiz Afonso

Spotti, Antonio Ronaldo

Tognola, Waldir Antonio ^{[2
]}

de Sousa, Atos Alves ^{[3
]}

Tostes dos Santos, Rosangela Minto ^{[4
]}

机构：

[1] Hosp Base, Unidade Neurocirurgia Endovasc, Serv Neurocirurgia, BR-15090000 Sao Jose Do Rio Preto, SP, Brazil

[2] Fac Med Sao Jose do Rio Preto, Dept Neurol Sci, Sao Jose Do Rio Preto, SP, Brazil

[3] Fac Ciencias Med Minas Gerais & Santa Casa Belo H, Dept Neurosurg, Belo Horizonte, MG, Brazil

[4] Ctr Diagnost & Tratamento Neuropsicol, Sao Jose Do Rio Preto, SP, Brazil

来源：

ARQUIVOS DE NEURO-PSIQUIATRIA | 2009年 / 67卷 / 2A期

关键词：

brain arteriovenous malformations; angioarchitectural features; clinical presentation; NATURAL-HISTORY; HEMORRHAGIC PRESENTATION; VENOUS DRAINAGE; INTRACRANIAL HEMORRHAGE; RISK; ANEURYSMS; PRESSURE; SIZE; FEATURES; SYSTEM;

D O I：

10.1590/S0004-282X2009000200031

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

The purpose of this study was to correlate the angioarchitecture of brain arteriovenous malformations (AVM) with their clinical presentation. A total of 170 patients with AVM 78 males and 92 females, were studied. Univariate and multivariate analyses were conducted in order to test the associations between morphological features and clinical presentation. The most frequent clinical presentations at diagnosis were hemorrhage in 89 (52%) patients, headache in 79 (46%), focal neurological deficit in 54 (32%), and seizure in 52 (31%). According to the Spetzler-Martin classification, grade I was found in 15 patients, II in 49, III in 55, IV in 41, and grade V in 10 patients. AVM with small nidus size, single feeding artery and single draining vein were associated with hemorrhage. Hemorrhage was positively associated with Spetzler-Martin grade I and negatively with grade V. The association between seizure and large nidus size was positive, however negative with small nidus size.

引用

页码：316 / 321

页数：6

共 40 条

[31] RELATIONSHIP OF PERFUSION-PRESSURE AND SIZE TO RISK OF HEMORRHAGE FROM ARTERIOVENOUS-MALFORMATIONS [J].

SPETZLER, RF ;

HARGRAVES, RW ;

MCCORMICK, PW ;

ZABRAMSKI, JM ;

FLOM, RA ;

ZIMMERMAN, RS .

JOURNAL OF NEUROSURGERY, 1992, 76 (06) :918-923

[32] A PROPOSED GRADING SYSTEM FOR ARTERIOVENOUS-MALFORMATIONS [J].

SPETZLER, RF ;

MARTIN, NA .

JOURNAL OF NEUROSURGERY, 1986, 65 (04) :476-483

[33] Predictors of hemorrhage in patients with untreated brain arteriovenous malformation [J].

Stapf, C ;

Mast, H ;

Sciacca, RR ;

Choi, JH ;

Khaw, AV ;

Connolly, ES ;

Pile-Spellman, J ;

Mohr, JP .

NEUROLOGY, 2006, 66 (09) :1350-1355

[34] Concurrent arterial aneurysms in brain arteriovenous malformations with haemorrhagic presentation [J].

Stapf, C ;

Mohr, JP ;

Pile-Spellman, J ;

Sciacca, RR ;

Hartmann, A ;

Schumacher, HC ;

Mast, H .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2002, 73 (03) :294-298

[35] Angioarchitectural factors present in brain arteriovenous malformations associated with hemorrhagic presentation [J].

Stefani, MA ;

Porter, PJ ;

terBrugge, KG ;

Montanera, W ;

Willinsky, RA ;

Wallace, MC .

STROKE, 2002, 33 (04) :920-924

[36] PLATELET-AGGREGATION WITHIN CEREBRAL ARTERIOVENOUS-MALFORMATIONS [J].

SUTHERLAND, GR ;

KING, ME ;

DRAKE, CG ;

PEERLESS, SJ ;

VEZINA, WC .

JOURNAL OF NEUROSURGERY, 1988, 68 (02) :198-204

[37]

TORRICO TA, 2006, ARQ NEURO-PSIQUIAT, V64, P681

[38]

TURJMAN F, 1995, AM J NEURORADIOL, V16, P345

[39] CORRELATION OF THE ANGIOARCHITECTURAL FEATURES OF CEREBRAL ARTERIOVENOUS-MALFORMATIONS WITH CLINICAL PRESENTATION OF HEMORRHAGE [J].

TURJMAN, F ;

MASSOUD, TF ;

VINUELA, F ;

SAYRE, JW ;

GUGLIELMI, G ;

DUCKWILER, G .

NEUROSURGERY, 1995, 37 (05) :856-860

[40] RELATIONSHIP OF SIZE, DENSITY AND LOCALIZATION OF INTRACRANIAL ARTERIOVENOUS MALFORMATIONS TO TYPE OF INITIAL SYMPTOM [J].

WALTIMO, O .

JOURNAL OF THE NEUROLOGICAL SCIENCES, 1973, 19 (01) :13-19

← 1 2 3 4 →