Luessenhop A J, Presper J H
J Neurosurg. 1975 Apr;42(4):443-51. doi: 10.3171/jns.1975.42.4.0443.
The authors describe the clinical results of surgical embolization in 55 patients with large cerebral arteriovenous malformations. Follow-up intervals ranged from 2 months to 14 years, averaging 4 1/2 years. The authors believe the procedure is safe in properly selected patients and is useful as a preliminary to direct surgical excision. It relieves associated headaches, and usually reverses or stabilizes a progressive neurological deficit. The potential for seizures probably is not altered. The incidence of hemorrhage following embolization is low for patients with no previous history of hemorrhage; however, the procedure does not reduce the likelihood of recurrence in patients with a prior history of hemorrhage.
作者描述了55例大脑大型动静脉畸形患者手术栓塞的临床结果。随访时间从2个月至14年不等，平均为4.5年。作者认为，该手术在经过适当选择的患者中是安全的，并且作为直接手术切除的前期准备是有用的。它可缓解相关头痛，并且通常能逆转或稳定进行性神经功能缺损。癫痫发作的可能性可能未改变。对于既往无出血史的患者，栓塞后出血的发生率较低；然而，该手术并不能降低既往有出血史患者复发的可能性。
