Abstract
Objective To investigate the diagnostic method and microsurgical operation time and the technology of brain arteriovernous malformation in children during acute hemorrhage.Methods A retrospective analysis of 32 cases of children cerebral AVMs,from June 2002 to June 2011,was conducted.Besides CTA and MRA,24 cases received DSA examination at early stages.Since cerebral hernia was caused by huge hematomas,8 cases underwent emergent microsurgical hematoma removal,among which 3 cases received DSA examination after their recovery.Following definite diagnoses,medical treatments were chosen based on the Spetzler-Martin classification:24 cases of Spetzler-Martin classification Ⅰ-Ⅲunderwent emergent microsurgical operations,while 2 of the cases underwent operation following endovascular embolization.Results Among the 8 cases that received emergent microsurgical hematoma removal,there were 2 cases of death after operation,2 cases with the complete resection of AVM under microscope and 1 case of partial resection,and 3 cases underwent microsurgical resection following their definite diagnosis according to the DSA examination.Furthermore,24 cases received emergent microsurgical AVM resection,and all hematomas and AVMs were completely removed under microscope.18 cases were approved after operation,according to DSA and CTA.Classified based on the Glasgow Outcomc Scale,21cases were grade 5,2 cases were grade 4,1 case was grade 3,and no cases of grade 2 or 1.Conclusion During the acute hemorrhage caused by AVM,DSA is the primary examination and the emergent microsurgical operation can reduce mortality and improve prognosis. Key words: Child ; Intracranial arteriovernous malformations, hemorrhage ; Microsurgery
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
