Paré M C, Bojanowski M W
Service de Neurochirurgie, Hôpital Notre-Dame, Montréal, Québec, Canada.
Ann Chir. 1991;45(9):811-5.
The site of a cerebral arteriovenous malformation, particularly in an eloquent area of the brain, is a significant factor that may influence the therapeutic approach. In these cases, surgery is often viewed as a contraindication. We report our experience of eleven consecutive cases of cerebral arterio-venous malformation in an eloquent area of the brain treated surgically. The resection was complete as confirmed by post-operative angiogram in ten patients. There were no post-operative mortality. One patient had a mild neurological deterioration and all patients have resumed their normal activities. The technical aspects which allowed these results are discussed.
脑动静脉畸形的部位,尤其是在脑的功能区,是可能影响治疗方法的一个重要因素。在这些病例中,手术常被视为禁忌。我们报告了连续11例位于脑功能区的脑动静脉畸形经手术治疗的经验。10例患者术后血管造影证实切除完全。无术后死亡病例。1例患者有轻度神经功能恶化,所有患者均已恢复正常活动。文中讨论了取得这些结果所涉及的技术方面。