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[儿童动静脉畸形。61例病例系列]

[Arteriovenous malformations in children. A series of 61 cases].

作者信息

Lena G, Rabehanta P, Genitori L, Choux M

机构信息

Service de neurochirurgie pédiatrique, Hôpital des enfants, La Timone, Marseille.

出版信息

Agressologie. 1990 May;31(5):293-4.

PMID:2288346
Abstract

A series of 61 cases of cerebral arteriovenous malformations(AVM) was observed in children under 15 years of age during the last 18 years; 7 concern infants under 12 months and more than 50% are children between 10 and 15 years old. Intra-cerebral hemorrhage was revealing in 45 cases (7.7%) and 12 patients were in comatose state at presentation; 8 children (1.1%) only presented epilepsy alone; 53 cases (86.8%) were operated upon and only one has had a partial removal; 2 children were cured by stereotactic radiosurgery; one child must be embolize and 5 children were not treated; 50 cases (82%) have a good or an excellent result with normal life; 7 cases (11.5%) have sequellae and only 4 children (6.5%) died.

摘要

在过去18年中,观察了61例15岁以下儿童的脑动静脉畸形(AVM);7例为12个月以下婴儿,50%以上为10至15岁儿童。45例(7.7%)以脑出血为首发症状,12例就诊时处于昏迷状态;8例儿童(1.1%)仅表现为癫痫;53例(86.8%)接受了手术,仅1例部分切除;2例儿童通过立体定向放射外科治愈;1例儿童必须进行栓塞治疗,5例儿童未接受治疗;50例(82%)预后良好或极佳,生活正常;7例(11.5%)有后遗症,仅4例儿童(6.5%)死亡。

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