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Date Published: 05/07/2023
Abstract Views: 112
Views PDF: 101
DOI: https://doi.org/10.51298/vmj.v527i2.5835
Issue
Vol. 527 No. 2 (2023)
Section
Các bài báo
How to Cite
Phạm, V. C., Nguyễn, T. H., Phạm, Q. T., & Nguyễn, Q. T. (2023). CLINICAL AND RADIOLOGICAL FEATURES OF HAEMORRHAGE ASSOCIATED WITH CEREBELLAR ARTERIOVENOUS MALFORMATION RUPTURES. Vietnam Medical Journal, 527(2). https://doi.org/10.51298/vmj.v527i2.5835

CLINICAL AND RADIOLOGICAL FEATURES OF HAEMORRHAGE ASSOCIATED WITH CEREBELLAR ARTERIOVENOUS MALFORMATION RUPTURES

Văn Cường Phạm1,, Thế Hào Nguyễn1, Quỳnh Trang Phạm1, Quang Thành Nguyễn1
1 Bach Mai Hospital

Main Article Content

Abstract

Objectives: Evaluation of clinical and radiological features of haemorrhage in cerebellar arteriovenous malformation (AVM) ruptures. Methods: A retrospective study of 31 patients who were diagnosed with cerebellar hemorrhage due to AVM and underwent surgery in Bach Mai hospital from January 2021 to January 2023. Results: 16M:15F with mean age of 38 (9-58 years old). Most patient has an initial GCS > 9 (80.3%). Headache was the most prevalent symptom (96.8%), but no patients showed convulsions; followed by cerebellar haemorrhage (77.4%), intraventricular haemorrhage (29%), ventricular dilatation (38.7%). The most common location was the suboccipital area (35.5%), size < 3 cm (51.6%), 3-6 cm (48.4%), malformed mass supplied by one single source of circulation (58.1%), deep venous drainage (38.7%), mass with diffused nature (41.9%). Spetzler-Martin grading: 7 patients grade I, 15 grade II and 9 grade III. Conclusions: Hemorrhage by cerebellar AVM rupture has a typical clinical manifestation with intracranial hypertension, absent of convulsions, the blood supply to the AVM can be from one or more sources, deep venous drainage, and diffused nature.

Article Details

Keywords

Haemorrhage, Cerebellar arteriovenous malformations, clinical features and radiological diagnosis

References

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