Analysis of Angiographic Findings in Arteriovenous Malformations (AVM) of Brain According to PresentingClinical Manifestations.
10.3348/jkrs.1998.39.5.877
- Author:
Jun Hyoung KIM
1
;
Jae Kyun KIM
;
Dae Chul SUH
;
Gi Young KO
;
Dong Eun KIM
;
Jin Sook KWON
;
Choong Gon CHOI
;
Ho Kyu LEE
;
Kyung Soo LIM
;
Joung Uk KIM
;
Dong Myung LEE
;
Chang Jin KIM
;
Byung Duk KWON
;
Myung Jong LEE
Author Information
1. Department of Diagnostic Radiology Medicine, Asan Medical Center, University of Ulsan College of Medicine.
- Publication Type:Original Article
- Keywords:
Arteriovenous malformations, cerebral;
Cerebral blood vessels, angiography
- MeSH:
Aneurysm;
Arteries;
Arteriovenous Malformations*;
Brain*;
Cerebral Angiography;
Constriction, Pathologic;
Dilatation, Pathologic;
Drainage;
Hemorrhage;
Humans;
Intracranial Arteriovenous Malformations;
Prognosis;
Retrospective Studies;
Veins
- From:Journal of the Korean Radiological Society
1998;39(5):877-885
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the different angio-architectures of brain arteriovenour malformatigns (AVMs) accordingto the presence of non-hemorrhagic symptoms or intracerebral (ICH) and/or intraventricular hemorrhage(IVH). MATERIALS AND METHODS: The results of complete cerebral angiography obtained in 215 patients with AVM between1989 and 1994 were retrospectively reviewed. The M:F ratio was 136:78 and their mean age was 29 (ranged 4 - 66)years. On the based of clincal presentation, CT and/or MR images, they were divided into hemorrhagic andnon-hemorrhagic groups. Angiograms were analyzed by two radiologists for the size and location of nidus; thenumber of feeding arteries and the extent of aneurysm, stenosis, dural supply, and angiomatous change; the numberof draining veins and the extent of deep or superficial drainage, stenosis, ectasia, kinking, and stasis. Thestandard chi-square test was used for statistical analysis. RESULTS: Hemorrhage was noted in 140 patients(65%),and no hemorrhage in 75(35%). Hemorrhage was more common in AVM with deep-seated and callosal locations, a nidusof less than 2cm, single feeder and single venous drainage, and deep venous drainage only (p < 0.05 - 0.001).Non-hemorrhagic presentations were more common in AVM with cortical and subcortical location, a nidus of more than5cm, angiomatous change, dural supply, both superficial and deep venous drainage, kinking, and stasis (p <0.05-0.001). CONCLUSION: The angio-architechture of AVM with hemorrhage correlated with clinical symptomaticpresentation. Analysis of the patterns of angioarchitectureis useful for prognosis and in deeiding the direetionof freatment.
