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Titolo:
LARGE CEREBRAL ARTERIOVENOUS-MALFORMATIONS - EXPERIENCE WITH 27 CASES
Autore:
SADASIVAN B; HWANG PYK;
Indirizzi:
GLENEAGLES MED CTR,BRAIN & SPINE SURG CLIN,10-09,6 NAPIER RD SINGAPORE 1025 SINGAPORE TAN TOCK SENG HOSP,DEPT NEUROSURG SINGAPORE SINGAPORE
Titolo Testata:
Surgical neurology
fascicolo: 3, volume: 45, anno: 1996,
pagine: 245 - 249
SICI:
0090-3019(1996)45:3<245:LCA-EW>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
BRAIN;
Keywords:
CEREBRAL ARTERIOVENOUS MALFORMATION; SURGERY; EMBOLIZATION; PERFUSION PRESSURE BREAKTHROUGH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
B. Sadasivan e P.Y.K. Hwang, "LARGE CEREBRAL ARTERIOVENOUS-MALFORMATIONS - EXPERIENCE WITH 27 CASES", Surgical neurology, 45(3), 1996, pp. 245-249

Abstract

BACKGROUND The management of large cerebral arteriovenous malformations is difficult. Surgical excision is often attempted after embolization. Interventional neuro-radiology is available in only a few centers. If large AVMs can be safely excised without pre-operative embolization, then these lesions can be treated at many neurosurgical centers. METHODS Between January 1986 and June 1992, a total of 210 patients withcerebral AVMs were diagnosed by angiographic studies. Twenty-seven ofthem had large AVMs wider than 5 cm in the longest diameter. The caserecords of these patients were retrieved and studied. RESULTS Two patients were treated with Bragg peak proton beam therapy, Twelve patients were treated conservatively with no improvement. Thirteen patients underwent surgery and total AVM excision was achieved in 11. None of the patients who underwent surgery had any pre- or intra-operative embolization. All the patients had no neurological deterioration post-operatively. CONCLUSIONS Large cerebral AVMs can be treated by surgical excision alone with acceptable results.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 07:38:59