The significance of computed tomographic angiography image -guided emergent mieroneurosurgical management of intracranial hemorhage of arteriovenous malformations.
10.3760/cma.j.issn.1671-8925.2009.02.015
- VernacularTitle:CTA在脑动静脉畸形出血急诊显微外科手术治疗中的指导意义
- Author:
Zhen-Yu WANG
1
;
Jian TANG
;
Guang-Fu HUANG
Author Information
1. 四川省人民医院
- Keywords:
Computed tomography angiograph;
Arteriovenous malformations;
Intracranial hemorhage;
Microneurosurgery
- From:
Chinese Journal of Neuromedicine
2009;8(2):161-163
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the significance of computed tomographic angiography guided emergent microneurosurgical management of intracranial hemorrhage on account of arteriovenous malformations. Methods 21 cases of intracranial hemorrhage on account of the rupture of the arteriovenous malformations received computed tomographie angiography guided emergent microneurosurgical management were analyzed. Diagnosis of AVM could be identified by 3-D reformatted images obtaining from multidetector CT angiography (CTA) .Then the resections of AVM and hematoma were performed with the help of CTA. We got the results of treatment by CTA examination postoperative. Results 15 AVM nests of 21 cases after operations were cut off, 5 got partial resection, except 1 in bulbus medullae, and the clinical symptoms eliminated in 6 patients (5 cases's hematoma in subcortex indomain, 1 in cerebellum), improved in 14 patients (7 cases in subcortex domain, 4 in cerebellum, 3 in basal ganglia), 1 patient died (AVM in bulbus medullae). Conclusion CTA could be used to get the emergency diagnosis of brain AVM hemorrhage and guid the emergent microneurosurgical management.
