In the cases of cerebrovasculary haemorrhage due to any malformation, the best way to do is combination of X-ray methods: tomography, MRI, arteriography. It is very helpful for identifying and removing the malformation bodies.
Abnormalities ; Cerebral Arterial Diseases

Most of arteriovenous malformations have the congenital origin and are formed from the mesoderm. They usually are seen under the 40 age and can be ruptured during any time. Sometimes they are also related to stress. Cerebral angiography keeps to play an important role in the diagnosis of AVM Digital Subtraction Angiography is a new advance in AVM diagnosis, it reveals AVM exactly and clearly. So, it helps the neurosurgeons to assess the treatment procedure appropriately. The characteristics of the surgical indications:* AVM in the surface of the cortex or under the cortex.* Size under 6 cm in diameter. * Noneloquent areas.* Without other diseases. Prevention of seizure with phenytoine is nesessary for pre and post operation. Nowadays, gamma knife is applied in spreading around the world with small and deep AVM or eloquent areas.
Abnormalities ; Cerebral Arterial Diseases ; surgery

The acute toxicity (LD50) of herbal extract of HM2 was tested on white mice and the treatment effect of this herbal medication was investigated on 33 in-patients with chronic cerebral circulated hypofunction at Hµ T©y Hospital of Traditional Medicine. The results showed that HM2 was non-toxic in experimental animal at oral dose of 200g per kg. The adverse effect was not observed in clinical. This medication made no change in pulse, blood pressure, liver and renal function parameters as well as in hematological measurements. There was significant improvement in major symptoms.
Abnormalities ; Cerebral Arterial Diseases ; therapeutics

24 cases of congenital cerebral malformations were detected by CT scan from 3/1995 to 6/1996, at MEDIC Medical Center. CT scan is a simple method with great value for exploration of CNS pathology, especially congenital pathology and in the childhood. The cases of disorders of organogenesis were usually observed in the infant, manifested by epilepsy, psychomotor retardation. On the other hand, those of disordersof histogenesis were observed in the adolescent or the adult, presented by epilepsy, hemiparesis/hemiplegia, disorder of the sesibility of the hemibody, skin abnomalities or incidentally defected.
Abnormalities ; Cerebral Arterial Diseases ; diagnosis

A retrospective study on 14 case of ruptured cerebral cranial carotid aneurysm operated in Viet Duc Hospital during 1998 - 2000 has shown that the clinical outcome and method of operation found well in 78.6% of patients. The time for operation was usually late (often 2-3 weeks of bleeding).
Aneurysm, Ruptured ; Cerebral Arterial Diseases

Objectives: Introduction of the operative technique, creteria of indication for the operation and results. Subjects: 75 patients in 2000 (male: 56; female: 19) The results: the cerebral haemorrhage due to cerebro-vascular accident sometimes were intervented by surgery (specific indication) which helped improving the internal treatment. The procedure of operation involved the drilling the skull and aspiration of the blood. The creteria for surgery by experiences of 100 operations were no limitation of age, Glasgow score: 6; diameter of the blood aggregation : 2 cm. Position of the blood aggregation: any position excluding the cerebral stem. The internal treatment was continued and rehabitation (if having paralysis).
Hemorrhage ; Cerebral Arterial Diseases ; therapeutics ; Cerebral Hemorrhage

Analysis of 1.701 cases of children mortality under 14 years old at 7 districts and Thai Binh city, from January 1998 to December 2000. The results: early neonatal mortality (< 7days) or a part of prenatal mortality accounted for 35.3%; neonatal mortality 41.6%, children mortality under 1 year old: 57.6%; children mortality under 5 years old: 83.5% compared with children mortality total under 14 years old. Children mortality rate under 1 year old was 13.22%o; Children mortality rate under 5 years old trended to decrease from 23.3%o (1998) to 17.5%o (2000). The main causes of children mortality was cerebral diseases, meninges diseases; respiratory diseases, cardiovascular disease; then some accidents as drowning, electric shock, traffic accident and the third was premature birth
Child ; Mortality ; Cerebral Arterial Diseases ; Premature Birth

BACKGROUND: Platelets play a key role in many occlusive vascular disorders and anti-platelet agents are the most important therapeutic strategy in preventing the recurrence of cerebral infarction. In order to know the platelet aggregability according to the strategy of anti-platelet agents, we measured platelet aggregability in patients who were taking anti-platelet agents for cerebral infarction. METHODS: Platelet aggregability in response to adenosine diphosphate (ADP) or collagen was measured in whole blood samples from 175 patients (48 females and 137 males). It was analyzed according to the type of cerebral infarction, vascular risk factors, and each anti-platelet agent. RESULTS: Platelet aggregability induced by ADP or collagen was significantly increased in patients with large artery atherosclerotic infarction compared to those with small vessel disease. Among anti-platelet regimens, combined therapy with aspirin and clopidogrel decreased platelet aggregability most effectively. CONCLUSIONS: These findings suggest that anti-platelet treatment should be tailored to the vascular status of each patient, and that combination therapy with aspirin and clopidogrel can effectively modulate platelet aggregability in preventing the recurrence of cerebral infarction.
Adenosine Diphosphate ; Arteries ; Aspirin ; Atherosclerosis ; Blood Platelets* ; Cerebral Arterial Diseases ; Cerebral Infarction* ; Collagen ; Female ; Humans ; Infarction ; Recurrence ; Risk Factors

Most nontraumatic subarachnoid hemorrhages are induced by the rupture of a saccular aneurysm. Acute nontraumatic cortical subarachnoid hemorrhage at the convexity of a cerebral hemisphere is a relatively rare occurrence with various vascular or nonvascular causes. Furthermore, the clinical manifestation of acute nontraumatic cortical subarachnoid hemorrhage differs from that of aneurysmal rupture. We experienced five cases of acute nontraumatic cortical subarachnoid hemorrhage with diverse neurological symptoms. Consecutive workup revealed the various etiologies of that hemorrhage.
Aneurysm ; Cerebral Arterial Diseases ; Cerebrum ; Hemorrhage ; Rupture ; Subarachnoid Hemorrhage ; Venous Thrombosis

The prognosis of symptomatic bilateral internal carotid artery occlusion is extremely poor. To our knowledge, there are few reports regarding the proper management of this catastrophic event. We present two cases of progressive stroke with acute internal carotid artery occlusion and contralateral chronic carotid occlusion, who were treated by urgent recanalization using stents. In two cases, complete recanalization was achieved and the clinical outcomes were favorable. We suggest that early endovascular treatment using stents may salvage the occluded vessel and may also offer a more successful clinical outcome. Further study will be necessary in order to define the proper management of this catastrophic event.
Arterial Occlusive Diseases ; Carotid Artery Thrombosis ; Carotid Artery, Internal* ; Cerebral Revascularization ; Humans ; Prognosis ; Stents* ; Stroke*