KẾT QUẢ VI PHẪU THUẬT DỊ DẠNG ĐỘNG TĨNH MẠCH NÃO DƯỚI ĐỊNH VỊ THẦN KINH TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objective: Evaluating the results of microsurgical with neuronavigation of cerebral arteriovenous malformations at Military Hospital 103. Subjects and Methods: Retrospective description from January 2020 to June 2023, 30 cases of cerebral arteriovenous malformations treated with microsurgery and neuronavigation at Military Hospital 103. Results: The average age was 35, the male/female ratio was 1.5; 96.7% of patients had GCS score >9; Headache was the main symptom, accounting for 86.7%; 53.3% of patients had deformed masses that had ruptured, 46.7% had deformed masses that had not yet ruptured; The majority had malformed masses at suppratentorial, 93.7%. SM1-2 grade accounted for 96.7% of patients. Surgical treatment completely removed the AVM in 96.7% of cases. Postoperative complications may include retro-abdominal hematoma (6.7%), increased cerebral edema (3.3%). The mortality rate after surgery was 3.3%. mRS score 3 months after surgery was better than when discharged from the hospital, with p = 0.06. Conclusion: Surgery is still the best choice and brings good results for AVM patients at Military Hospital 103.