The clinical features and treatment strategy of brain arteriovenous malformations associated with arterial an-eurysms
10.3936/j.issn.1002-0152.2014.03.002
- VernacularTitle:脑动静脉畸形伴发动脉瘤的临床特征和治疗策略
- Author:
Kejun HE
;
Tiewei QI
;
Shaolei GUO
;
Feng LIANG
;
Yibing YANG
;
Lijuan LUO
;
Guanling XIE
- Publication Type:Journal Article
- Keywords:
Brain arteriovenous malformations;
Aneurysms;
Clinical features;
Treatment
- From:
Chinese Journal of Nervous and Mental Diseases
2014;(3):133-137
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical features and treatment strategy of brain arteriovenous malforma-tions(AVM) associated with arterial aneurysms. Methods The clinical manifestation, imaging data, treatment and out-come of the patients with AVM were retrospectively analyzed in 38(10.4%) of these 364 patients. Results Hemorrhage was the most common clinical manifestation (60.5%). The hemorrhage risk was higher in AVM associated with arterial an-eurysms than in single AVM(χ2=5.956,P<0.05). The most common type of associated aneurysms was feeding artery an-eurysm (69.4%). Hemorrhage more frequently occurred within the aneurysm.(χ2=8.869,P<0.05). The bleeding lesions and 43 associated aneurysms of the 37 patients were treated effectively by endovascular treatment and/or craniotomy. Thirty-four patients had excellent or good outcomes, six patients had complications, 3 patients had neurological deficits. Postoperative digital subtraction angiography (DSA) examination showed the complete disappearance of arteriovenous malformation and aneurysm in sixteen cases. Conclusions The AVM associated with aneurysms is common in patients with AVM. AVM associated with aneurysms has a higher risk of hemorrhage than single AVM. The aneurysm within AVM has a higher rate of hemorrhage. The treatment priority should be given to the bleeding lesions and aneurysms.
