Palliative embolisation of brain arteriovenous malformations presenting with progressive neurological deficit

被引:9
|
作者
Al-Yamany, M [1 ]
Terbrugge, KG [1 ]
Willinsky, R [1 ]
Montanera, W [1 ]
Tymianski, M [1 ]
Wallace, MC [1 ]
机构
[1] Univ Toronto, Western Hosp, Head Div Intervent & Diagnost Neuroradiol, Univ Hlth Network, Toronto, ON M5T 2S8, Canada
关键词
palliative embolisation; progressive neurological deficit; brain arteriovenous malformations;
D O I
10.1177/159101990000600302
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Large arteriovenous malformations (AVMs) located in eloquent areas of the brain are generally considered incurable because of the high morbidity and mortality associated with their treatment. When these patients develop a progressive neurological deficit they in time often become severely disabled. This report presents the results of palliative embolisation in this subgroup of patients. Analysis of our data-base of 714 patients with known brain AVMs revealed 17 patients who presented with progressive neurological deficit and who underwent palliative embolisation as the therapeutic modality of choice for management of their AVM. One patient was excluded due to lack of follow-up and two were excluded because they later received radiation therapy. Following embolisation 43% had improvement of their neurological deficit 50% stabilized and 7% continued to deteriorate and these clinical results persisted for an average of more than 2 years follow-up. Transient neurological morbidity associated with embolisation treatment was 7% and there was no permanent morbidity and no mortality. Palliative embolisation of brain AVMs presenting with progressive neurological deficits arrested deterioration in more than 90% of patients and was associated with low morbidity and no mortality.
引用
收藏
页码:177 / 183
页数:7
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