Drake C G, Friedman A H, Peerless S J
J Neurosurg. 1986 Jan;64(1):1-10. doi: 10.3171/jns.1986.64.1.0001.
The authors report their treatment of 66 infratentorial arteriovenous malformations (AVM's) in patients aged 5 to 69 years. Sixty-one of them presented with hemorrhage, three with headache, and two with focal neurological deficits. Five patients underwent surgical exploration only, one was treated with ventriculostomy, three had ligation of the AVM feeding arteries, four underwent intraoperative embolization, and two had pontine hematomas removed; complete excision was attempted in 51 patients and accomplished in 47. Twelve of the patients also had aneurysms (nine of which had ruptured). Of this series, 71% had a good result, 14% a poor result, and 15% died. Most of the operative morbidity was due to massive postoperative hemorrhage, probably related to inadequate hemostasis.
作者报告了他们对年龄在5至69岁的66例幕下动静脉畸形（AVM）患者的治疗情况。其中61例表现为出血，3例表现为头痛，2例表现为局灶性神经功能缺损。5例患者仅接受了手术探查，1例接受了脑室造瘘术，3例进行了AVM供血动脉结扎，4例接受了术中栓塞，2例清除了脑桥血肿；51例患者尝试进行完全切除，47例成功切除。12例患者还患有动脉瘤（其中9例已破裂）。在这个系列中，71%的患者预后良好，14%的患者预后较差，15%的患者死亡。大多数手术并发症是由于术后大量出血，可能与止血不充分有关。
