Hypertension, small size, and deep venous drainage are associated with risk of hemorrhagic presentation of cerebral arteriovenous malformations
Hypertension, small size, and deep venous drainage are associated with risk of hemorrhagic presentation of cerebral arteriovenous malformations
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DOI：
10.1097/00006123-199803000-00008
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发表时间：
1998-03-01
期刊：
影响因子：
4.8
通讯作者：
King, JT
中科院分区：
文献类型：
--
作者：
Langer, DJ;Lasner, TM;King, JT
目的：识别脑动静脉畸形（AVM）出血相关的临床和血管造影因素，以提高估计的风险，并帮助指导管理的临床decisionmaking.METHODS：我们进行了回顾性分析，100名连续的成年人谁提出在过去3年中，我们的机构与脑AVM。血管造影和临床参数进行了评估，采用多元逻辑回归分析，分析因素与出血presentation.Results：该组的平均年龄为37.8岁，53%是男性，48%的颅内出血，40%的癫痫发作。所有10例小脑AVM患者均出现出血。以下因素与AVM出血独立相关：高血压史（P = 0.019;比值比[OR] = 5.36），病灶直径
OBJECTIVE: To identify clinical and angiographic factors of cerebral arteriovenous malformations (AVMs) associated with hemorrhage to improve the estimation of the risks and help guide management in clinical decision making.METHODS: We conducted a retrospective analysis of 100 consecutive adults who have presented during the past 3 years to our institution with cerebral AVMs. Angiographic and clinical parameters were evaluated using multivariate logistic regression analysis to analyze factors associated with hemorrhagic presentation.RESULTS: The group had a mean age of 37.8 years; 53% were men, 48% presented with intracranial hemorrhage, and 40% presented with seizures. All 10 patients with cerebellar AVMs presented with hemorrhage. The following factors were independently associated with AVM hemorrhage: history of hypertension (P = 0.019; odds ratio [OR] = 5.36), nidal diameter