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SURGICAL OUTCOMES OF MIDLINE AND PARAMEDIAN CEREBRAL ARTERIOVENOUS MAL FORMATIONS AT BACH MAI HOSPITAL
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Abstract
Objective: To evaluate surgical outcomes and to analyze management strategies of midline and paramedian AVMs. Methods: Retrospective study of 39 patients diagnosed with midline and paramedian AVM underwent surgical operation at Bach Mai hospital from Jan, 2023 to April, 2024. Results: 29 male and 10 female patients with mean age of 38,8 (14-77 years old). 71,8% of cases were ruptured AVMs. 13 patients (33,3%) had pre-operative endovascular embolization of AVM. 32 out of 39 patients had favorable surgical outcome. Conclusions: Most of patients had favorable surgical outcome. Management strategies for midline and paramedian AVMs includes pre-operative endovascular AVM embolization for Spetzler-Martin grade III or higher, craniotomy crossing the midline, wide opening of the interhemispheric fissure and using gravity retraction.
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Keywords
midline and paramedian AVMs, endovascular embolization
References
2. Spetzler R.F., btv. (2015), Comprehensive management of arteriovenous malformation of the brain and spine, Cambridge Univ. Press, Cambridge.
3. Lawton M.T., Rutledge W.C., Kim H. và cộng sự. (2015). Brain arteriovenous malformations. Nat Rev Dis Primer, 1(1), 15008.
4. Kim Y.B., Young W.L., và Lawton M.T. (2011). Parafalcine and midline arteriovenous malformations: surgical strategy, techniques, and outcomes: Clinical article. J Neurosurg, 114(4), 984–993.
5. Phạm Quỳnh Trang, Nguyễn Thế Hào, và Trần Trung Kiên (2019). Kết quả điều trị phẫu thuật dị dạng động tĩnh mạch não đường giữa. Tạp Chí Học TP Hồ Chí Minh, Phụ bản tập 23(3), 58–61.
6. García-García S., González-Sánchez J.J., Gandhi S. và cộng sự. (2018). Contralateral Transfalcine Versus Ipsilateral Anterior Interhemispheric Approach for Midline Arteriovenous Malformations: Surgical and Anatomical Assessment. World Neurosurg, 119, e1041–e1051.