JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (2): 56-60.doi: 10.6040/j.issn.1671-7554.0.2014.082

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Clinical characteristics and treatment of intracranial arteriovenous malformation in children with acute hemorrhage

ZHANG Jie, WANG Zhigang, WANG Yihua, JIANG Bin, HE Wei, YIN Xin, GUO Wenqiang   

  1. Department of Neurosurgery, Qingdao Hospital, Qilu Hospital of Shandong University, Qingdao 266035, Shandong, China
  • Received:2014-02-21 Published:2015-02-10

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Abstract: Objective To investigate the clinical characteristics and treatment of rupture and hemorrhage of brain arteriovernous malformation (AVM) in children. Methods Clinical data of 28 children with cerebral AVM treated in our hospital during 2010 to 2013 were retrospectively reviewed. Results Of 22 patients who underwent interventional embolization or microsurgery or both, 20 were cured, and 2 were moderately disabled. Of the 8 cases receiving emergency operation due to hemorrhage complicated with cerebral hernia, 6 had fine prognosis and 2 were moderately disabled. Of the 10 cases treated with interventional embolization, microsurgery or both, DSA check-ups indicated the malformation was no longer developing. Two cases treated only with intravascular embolization and two cases treated with intravascular embolization combined with gamma knife had recurrence and underwent embolization treatment a second time. Of the 6 cases treated with conservative approach, no recurrent hemorrhage occurred. Conclusion Cerebral AVM is the primary cause of intracerebral spontaneous hemorrhage in children. DSA check-ups should be performed as early as possible to clarify the condition. Interventional embolization and microsurgery are effective treatments for pediatric AVM.

Key words: Children, Intracranial arteriovernous malformations, Hemorrhage, Microsurgery

CLC Number: 

  • R651.1
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