Arteriovenous malformations of the cerebellar vermis.
Arteriovenous malformations of the cerebellar vermis.
复制标题
小脑蚓部动静脉畸形。
DOI：
10.1227/00006123-198503000-00011
复制
发表时间：
1985
期刊：
影响因子：
4.8
通讯作者：
H. Batjer
中科院分区：
文献类型：
--
作者：
D. Samson;H. Batjer
十五小脑蚓部动静脉畸形手术治疗超过7年的时间。73%的病例以颅内出血为主要症状，60%的病例发生再出血。计算机断层扫描显示了80%的畸形部位，并记录了所有出血后患者的脑内出血。血管造影显示两个一致的模式，动脉供应取决于参与畸形的上级小脑蚓部。所有病变均通过中线枕下后颅窝显微手术入路手术切除。动静脉畸形的脑室内延伸很常见，通常与第四脑室内的脉络丛有关。术后即刻血管造影用于记录动静脉畸形切除。记录了3例意外残留畸形，需要再次探查。全组手术死亡率为7%，神经系统并发症发生率为21%。
Fifteen cerebellar vermian arteriovenous malformations were surgically treated over a 7-year period. Intracranial hemorrhage was the presenting symptom in 73% of the cases and recurrent bleeding episodes occurred in 60%. Computed tomographic scans demonstrated the site of the malformation in 80% and documented the presence of intracerebral bleeding in all posthemorrhage patients. Angiography revealed two consistent patterns of arterial supply depending on the involvement by the malformation of the superior inferior cerebellar vermis. All lesions were surgically removed via a midline suboccipital posterior fossa microsurgical approach. Intraventricular extension of arteriovenous malformation was common, often in association with the choroid plexus of the 4th ventricle. Immediate postoperative angiography was used to document arteriovenous malformation removal. Three instances of unsuspected residual malformation were documented and required reexploration. The total operative mortality was 7%, and the neurological morbidity was 21%.