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妊娠合并脑动静脉畸形的治疗选择:文献复习。

Current treatment options for cerebral arteriovenous malformations in pregnancy: a review of the literature.

机构信息

Department of Neurological Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA.

Harvard University, Faculty of Arts and Sciences, Cambridge, Massachusetts, USA.

出版信息

World Neurosurg. 2014 Jan;81(1):83-90. doi: 10.1016/j.wneu.2013.01.031. Epub 2013 Jan 11.

Abstract

BACKGROUND

Cerebral arteriovenous malformations (AVMs), though relatively rare, have the propensity to cause potentially fatal conditions, such as intracranial hemorrhage.

METHODS

Online databases were utilized to select and review references to convey recommended treatment options for cerebral AVMs in pregnancy.

RESULTS

The presentation of a hemorrhage from an AVM in a pregnant woman warrants the initiation of treatments.

CONCLUSION

An individualized, multimodal therapeutic strategy should be employed for endovascular treatment, such as presurgical embolization.

摘要

背景

脑动静脉畸形(AVM)虽然相对少见,但有引起潜在致命情况的倾向,如颅内出血。

方法

利用在线数据库选择和回顾参考文献,以传达妊娠时脑 AVM 的推荐治疗选择。

结果

孕妇的 AVM 出血表现需要开始治疗。

结论

应该采用个体化、多模式的治疗策略进行血管内治疗,如术前栓塞。

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