顶枕叶脑动静脉畸形致颅内出血治疗体会

目的 探讨顶枕交界部脑动静脉畸形(AVM)伴颅内出血的治疗方案.方法 采用栓塞或栓塞联合手术治疗顶枕叶AVM伴颅内出血患者 31 例,其中29例行单纯介入栓塞(93.5%),2例因栓塞后头颅CT证实再出血行急诊手术清除血肿并切除畸形血管(6.5%).结果 本组无死亡病例,术后遗留命名性失语2例,6例术前伴肢体偏瘫患者术...

Surgical strategy of arteriovenous malformation located in parietal-occipital lobe with intracranial bleeding

Objective To discuss the surgical strategy of ateriovenous malformation located in parietal-occipital lobe with intracranial bleeding.Methods Thirry-one patients with parietal-occipital lobe AVM with intracranial hemorrhage treated by interventional embolism or microsurgery with pre-surgical embolism were retrospectively analyzed,of which manifested as sudden headache,epilepsy in 24 patients(77.4%),29 patients(93.5%) were cured by embolism,2 patients(6.5%) were confirmed recurrent hemorrhage by head CT after interventional embolization and underwent emergency surgery to remove the hematoma and resection of AVMs.Results No deaths occured,2 patients remained nominal aphasia,6 patients with preoperative hemiparalysis got satisfactory recovery of muscle strength.Conclusion Endovascular embolism or microsurgical resection combined with pre-operative embolism is a safe and effective way in treating AVM of parietal-occipital lobe,and can reduce the mortality and complication rate.