書誌事項
- タイトル別名
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- Strategy and Outcome in Patients with Unruptured Cerebral AVM
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The treatment of unruptured cerebral arteriovenous malformation (AVM) is still controversial. We have been treating these patients according to the Spetzler & Martin (S&M) grading system. We retrospectively evaluated the outcomes of 46 unruptured AVM patients and also evaluated the bleeding rate during follow-up period. Recently we also started performing functional MRI, tractography, and 3-dimensional (3D) angiography for these patients before treatment. <br> In 18 of 22 patients in S&M Grade I and II, AVMs were surgically removed and the outcome was good. Six of 9 patients in S&M Grade IV and V, were conservatively treated. In patients in S&M Grade III, various treatments were performed according to the location of the AVM, but all their outcomes were favorable. The rate of permanent surgical complications was 15.3% in 26 unruptured AVM patients. Based on our treatment results, aggressive treatment should be performed in patients with S&M Grade I and II. However, treatment decisions must be carefully considered based on functional MRI, tractography of AVM, and 3D angiography.<br>
収録刊行物
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- 脳卒中の外科
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脳卒中の外科 34 (3), 157-162, 2006
一般社団法人 日本脳卒中の外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204671213440
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- NII論文ID
- 130004479528
- 110004750407
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- NII書誌ID
- AN10061756
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- ISSN
- 18804683
- 09145508
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可