Andersen E B, Petersen J, Mortensen E L, Udesen H
Department of Neurology, Glostrup University Hospital, Copenhagen, Denmark.
J Neurol Neurosurg Psychiatry. 1988 Sep;51(9):1208-12. doi: 10.1136/jnnp.51.9.1208.
Twenty five patients with conservatively treated cerebral arteriovenous malformation were followed up for a mean of 10.6 years after diagnosis. The follow up included neuropsychological examination. Bleeding did not occur after the time of diagnosis. Three patients had moderate to severe neurological deficits, five had moderate to severe intellectual impairment. Nineteen had an unaffected occupational status. It is concluded that the outcome in conservatively treated patients may be no worse than in surgically treated patients.
25例接受保守治疗的脑动静脉畸形患者在确诊后平均随访10.6年。随访包括神经心理学检查。确诊后未发生出血。3例患者有中度至重度神经功能缺损，5例有中度至重度智力障碍。19例患者的职业状态未受影响。得出的结论是，保守治疗患者的预后可能并不比手术治疗患者差。
