Article Sidebar

PDF
Date Published: 18/07/2023
Abstract Views: 343
Views PDF: 283
DOI: https://doi.org/10.51298/vmj.v528i1.5949
Issue
Vol. 528 No. 1 (2023)
Section
Các bài báo
How to Cite
Phạm, V. C., Nguyễn, T. H., Phạm, Q. T., & Nguyễn, Q. T. (2023). SURGICAL TREATMENT RESULTS OF HEMORRHAGE OF CEREBELLAR ARTERIOVENOUS MALFORMATIONS RUPTURE. Vietnam Medical Journal, 528(1). https://doi.org/10.51298/vmj.v528i1.5949

SURGICAL TREATMENT RESULTS OF HEMORRHAGE OF CEREBELLAR ARTERIOVENOUS MALFORMATIONS RUPTURE

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

Main Article Content

Abstract

Objectives: Demonstration of surgical treatment results for hemorrhages associated with cerebellar arteriovenous malformation 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 38 (9-58 years old). Initial GCS 13-15 pts (51.6%), 9-12 pts (38.7%), <9 pts (9.7%). Pre-op embolization: 6/31 cases (19.4%). Craniotomy size depends on AVM location. Good results 25/31 cases (80.7%). Ventricular dilation persisted in two patients and CSF leakage in one. Conclusions: With hemorrhage of cerebellar AVM rupture, Pre-op embolization eliminates difficulties caused by accessed feeding arteries. Surgical outcome is favourable.

Article Details

Keywords

Hemorrhage of Cerebellar arteriovenous malformations, surgical results.

References

1. Rutledge, W.C., N.U. Ko, M.T. Lawton, et al. (2014), Hemorrhage rates and risk factors in the natural history course of brain arteriovenous malformations. Transl Stroke Res. 5(5): 538-42.
2. Abla AA, Nelson J, Rutledge WC, Young WL, Kim H, Lawton MT. The natural history of AVM hemorrhage in the posterior fossa: comparison of hematoma volumes and neurological outcomes in patients with ruptured infra- and supratentorial AVMs. Neurosurg Focus. 2014;37(3):E6. doi:10.3171/2014.7.FOCUS14211
3. Tong X, Wu J, Lin F, et al. Risk Factors for Subsequent Hemorrhage in Patients with Cerebellar Arteriovenous Malformations. World Neurosurg. 2016;92:47-57. doi:10.1016/ j.wneu.2016.04.082
4. Rodríguez-Hernández A, Kim H, Pourmohamad T, Young WL, Lawton MT, University of California, San Francisco Arteriovenous Malformation Study Project. Cerebellar arteriovenous malformations: anatomic subtypes, surgical results, and increased predictive accuracy of the supplementary grading system. Neurosurgery. 2012;71(6):1111-1124. doi:10.1227/NEU.0b013e318271c081
5. Bendok B.R., Levy E.I., Hanel R.A., Qureshi A.I., Guterman L.R., Hopkins L.N. (2003), Brain AVM embolization, Operative Techniques in Neurosurgery 2(6): 64-74.
6. Gross B.A., Storey A., Orbach D.B., Scott M., Smith E.R. (2015), Microsurgical treatment of arteriovenous malformations in pediatric patients: The Boston Children’s Hospital experience, Journal of Neurosurgery Pediatrics 15: 71-77.
7. Milatovic B., Saponjski J., Huseinagic H., Moranjkic M., Medenica S.M., Marinkovic I., Nicolic I., Marinkovi S. (2018), Anatomy of the feeding arteries of the cerebral arteriovenous malfomations, Folia Morphology 77(4): 656-669.