Strategy and Outcome in Patients with Unruptured Cerebral AVM
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- UNO Masaaki
- Department of Neurosurgery, Graduate School of Health Biosciences, The University of Tokushima
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- NISHI Kyoko
- Department of Neurosurgery, Graduate School of Health Biosciences, The University of Tokushima
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- SUZUE Atsuhiko
- Department of Neurosurgery, Graduate School of Health Biosciences, The University of Tokushima
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- MANABE Shinji
- Department of Neurosurgery, Graduate School of Health Biosciences, The University of Tokushima
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- MATSUBARA Shunji
- Department of Neurosurgery, Graduate School of Health Biosciences, The University of Tokushima
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- SATO Koichi
- Department of Neurosurgery, Graduate School of Health Biosciences, The University of Tokushima
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- NAGAHIRO Shinji
- Department of Neurosurgery, Graduate School of Health Biosciences, The University of Tokushima
Bibliographic Information
- Other Title
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- 未破裂脳動静脈奇形 未破裂脳動静脈奇形の治療方針とその成績
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Description
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>
Journal
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- Surgery for Cerebral Stroke
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Surgery for Cerebral Stroke 34 (3), 157-162, 2006
The Japanese Society on Surgery for Cerebral Stroke
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Details 詳細情報について
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- CRID
- 1390001204671213440
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- NII Article ID
- 130004479528
- 110004750407
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- NII Book ID
- AN10061756
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- ISSN
- 18804683
- 09145508
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed