Early diagnosis and microsurgical treatment of cerebral arteriovenous malformation hemorrhage in childhood

VernacularTitle:儿童期脑动静脉畸形出血早期诊断和显微外科治疗
Author: Kaihua YANG ; Fei WANG
Publication Type:Journal Article
Keywords: intracranial-arteriovenous-malformation; hemorrhage; microsurgery; childhood
From: Chongqing Medicine 2014;(18):2282-2284
CountryChina
Language:Chinese
Abstract: Objective To investigate the diagnostic method,microsurgical operation time and effect of brain arteriovenous mal-formation(AVM)rupture hemorrhage in childhood.Methods 72 children (≤16 years old)of AVM hemorrhage from 2003 to 2013 were retrospectively analyzed.Results The CT diagnosis rate was 48.6%(35/72),the MRI diagnosis rate was 78.3%(47/60),56 cases were performed the early whole brain DSA under the condition permitting,its diagnosis rate was 98.2%(55/56).All the cases were performed the hematoma clearance plus the pertinent lesion resection.70 cases were re-examined by DSA/CTA/MRA during postoperative perioperation period.The lesion resection rate was 91.5%,the partial resection rate was 8.6%.60 cases(85.7%) were successfully followed up for 6 months to 6 years and assessed by the Glasgow outcome scale,5 points in 5 5 cases,4 points in 2 cases,3 points in 2 cases and 2 points in 1 cases.Conclusion DSA is the main detection measure for early diagnosing AVM hem-orrhage and the microsurgical operation in the acute stage can reduce the fatality and improve the prognosis.