ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH CT SỌ NÃO DO VỠ DỊ DẠNG ĐỘNG TĨNH MẠCH NÃO

Abstract

Objective: Describe the clinical features and images of computer tomography in ruptured brain arteriovenous malformation. Subject and method: Prospectively, the research group of 41 patients was diagnosed with cerebral hemorrhage in rupture brain AVM patients, the control group included 183 patients with non-AVM hemorrhagic stroke. Result: Hemorrhagic stroke in rupture brain AVM was found in 53.67% at the age of 20-40, non-ruptured hemorrhagic stroke had a high rate at the age of 40-60, was 42.62%. Intracerebral bleeding due to rupture brain AVM had glasgow 13.35±1.57 points, mRS 1.03±0.78 points, CT image with bleeding in cerebral cortex 80.49%, volume hematoma over 30 ml was 12.19%, with calcification 26.83%. In patients with stroke without rupture of AVM, the corresponding rates were: glasgow 9.61 ± 1.72 points, mRS 3.11 ± 1.27 points, cortical bleeding 9.23%, possible hematoma volume > 30 ml 40.98%, calcification score is 1.64%. Conclusion: Bleeding in brain AVM was common in people 20-40 years old, the clinical degree according to mild glasgow score, small volume of hematoma, or calcification score and better recovery ability compared with hemorrhagic stroke patients not due to rupture brain AVM.