Treatment of cerebrum hemispheres arterio-venouses malformations after their rupture. Terms, methods, results

Authors

  • L. N. Yakovenko Romodanov Neurosurgery Institute, Kiev, Ukraine
  • V. A. Yatsyk Romodanov Neurosurgery Institute, Kiev, Ukraine
  • S. O. Lytvak-Shevkopias Romodanov Neurosurgery Institute, Kiev, Ukraine
  • V. V. Moroz Romodanov Neurosurgery Institute, Kiev, Ukraine

DOI:

https://doi.org/10.25305/unj.128195

Keywords:

головний мозок, артеріо-венозна мальформація, розрив, хірургічне лікування, результати

Abstract

Result of surgical treatment to cerebral AVM with different terms of ruptures in 145 are cases presented. Consequences of AVM ruptures are intracerebral hemorrhage (46,2%) and ventricular and combinated hemorrhage in the minority. Evidence for surgical treatment was determined in 132 cases: 60 patients were perated on transcranial, 49 — endovascular with various ranges of reduction and in 18 — combined treatment was applied.

The results were analyzed depending on location and hemodynamical peculiarities of AVM: diagnosed terms of rupture, their neurological presentations, technology of surgical intervention. Good results after surgical treatment were registered in 53,8% cases; satisfactory in 9,6%; unsatisfactory and overlooked, that were not accompanied by improving of patient’s quolity of life in 36,6%.

References

Гайдар Б.В. Практическая нейрохирургия. — СПб: Гиппократ, 2002. — C.329–371.

Гельфенбейн М.С, Крылов В.В. Особенности инструментальной диагностики разорвавшихся сосудистых мальформаций головного мозга // Нейрохирургия. — 2000. — №3. — С.56–60.

Дзяк Л.А., Зорин Н.А. Артериальные аневризмы и артерио-венозные мальформации головного мозга. — Днепропетровск: Корни, 2003. — 137 с.

Зорін М.О. Артеріовенозні мальформації головного мозку. — Дніпропетровськ.: Пороги, 1998. — 33 с.

Крылов В.В., Ткачев В.В., Добровольский Г.Ф. Микрохирургия аневризм виллизиевого многоугольника. — М.: Антидор, 2004. — 160 с.

Лебедев В.В., Крылов В.В. Неотложная нейрохирургия: Руководство для врачей. — М.: Медицина, 2000. — C. 397–557.

Лебедев В.В., Крылов В.В., Шелковский В.Н. Клиника, диагностика и лечение внутричерепных артериальных аневризм в остром периоде кровоизлияния. — М.: Медицина, 1996. — 116 с.

An integrative approach to vascular malformations of the brain // The Rasmussen Lecture, Montreal Neurological Institute. — Montreal: , McGill University, 1995.

Drake C.G. Cerebral arteriovenous malformations. Considerations for and experience with surgical treatment in 166 cases // Clin. Neurosurg. — 1979. — V.26. — P.145–208.

Fiorella D., Albuquerque F.C., Woo H.H. et al. The role of neuroendovascular therapy for the treatment of brain arteriovenous malformations // Neurosurgery. — 2006. — V. 59. — P 163–177.

Pollock B.E., Brown R.D. Management of cysts arising after radiosurgery to treat intracranial arteriovenous malformations // J. Neurosurg. — 2001. — V.49, N2. — P. 259.

Steig Ph.E. Arteriovenous malformations: complex lesion-comprehensive therapy. // N.Y. Presbir.hosp.leсture, 2003.

Wilkins R.H. Natural history of intracranial vascular malformations. A review // Neurosurgery. — 1985. — V.16. — P.421–430.

Wilkins R.H. Natural history of intracranial vascular malformations: a review // Neurosurgery. — 1985. — V.16. — P. 421–430.

Yasargil M.G. Pathological considerations // Microsurgery. AVM of the brain: History, embryology, pathologic considerations, hemodynamics, diagnostic studies, microsurgical anatomy / Ed. M.G. Yasargil. — N.Y.: Thieme Med. Publ. Inc., 1987. — V.3A. — P.49–211.

Downloads

How to Cite

Yakovenko, L. N., Yatsyk, V. A., Lytvak-Shevkopias, S. O., & Moroz, V. V. (2006). Treatment of cerebrum hemispheres arterio-venouses malformations after their rupture. Terms, methods, results. Ukrainian Neurosurgical Journal, (4), 35–40. https://doi.org/10.25305/unj.128195

Issue

No. 4 (2006)

Section

Original articles

License

Copyright (c) 2006 L. N. Yakovenko, V. A. Yatsyk, S. O. Lytvak-Shevkopias, V. V. Moroz

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Ukrainian Neurosurgical Journal abides by the  CREATIVE COMMONS copyright rights and permissions for open access journals.

Authors, who are published in this Journal, agree to the following conditions:

1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.

2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.