Licata C, Pasqualin A, Freschini A, Barone G, Da Pian R
Acta Neurochir (Wien). 1986;83(1-2):38-46. doi: 10.1007/BF01420506.
3 cases of primary cerebral tumours associated to intracranial arterio-venous malformations are reported. The presenting symptoms were caused by the AVM in 2 patients, by the tumour in 1 patient. In 2 cases the lesions were coexistent, while in one case the tumour was diagnosed 30 months after resection of the AVM. The tumour was a glioma in 2 cases, a pituitary adenoma in 1 case. The AVM was located in the right hemisphere in 2 patients, and was always ipsilateral to the tumour. Surgical treatment was undertaken in all patients, and consisted of resection of the tumour and AVM in 2 cases, and only resection of the tumour in 1 case. As regards outcome, one patient survived with a mild deficit, and 2 patients died from the natural evolution of the malignant tumour. It is concluded that the management of associated AVMs and brain tumours should be decided in the individual patient according to various considerations, owing to the variability of each lesion and to the relatively benign prognosis of an arterio-venous malformation.
报告了3例与颅内动静脉畸形相关的原发性脑肿瘤。2例患者的首发症状由动静脉畸形引起，1例由肿瘤引起。2例病变共存，1例在动静脉畸形切除30个月后诊断出肿瘤。2例肿瘤为胶质瘤，1例为垂体腺瘤。2例患者的动静脉畸形位于右半球，且总是与肿瘤同侧。所有患者均接受了手术治疗，2例为肿瘤和动静脉畸形切除术，1例仅为肿瘤切除术。至于预后，1例患者存活但有轻度功能缺损，2例患者死于恶性肿瘤的自然进展。结论是，由于每个病变的变异性以及动静脉畸形相对良好的预后，应根据各种因素对每个患者的动静脉畸形和脑肿瘤联合病变进行个体化治疗决策。
