McManis P G, Selby G M, Sorby W A
Clin Exp Neurol. 1983;19:159-70.
Seven patients with inoperable cerebral arteriovenous malformations have been treated with embolisation using Silastic spheres and plugs. Indications for using this technique were intractable migraine, episodes of cerebral ischaemia ('steal' syndromes), intracranial haemorrhage, and partial or generalised epilepsy. All 7 patients had been treated medically for between 5 and 25 years with unsatisfactory control of symptoms. Four of the 7 patients obtained some improvement which appeared related to the reduction in flow through the malformation. Although there are risks associated with embolisation, it would seem to be a worthwhile procedure in selected cases.
7例无法手术的脑动静脉畸形患者接受了使用硅橡胶球和栓塞剂的栓塞治疗。采用该技术的指征为顽固性偏头痛、脑缺血发作（“盗血”综合征）、颅内出血以及部分性或全身性癫痫。所有7例患者均已接受了5至25年的药物治疗，但症状控制不佳。7例患者中有4例病情有所改善，这似乎与畸形血管内血流减少有关。尽管栓塞治疗存在风险，但在某些特定病例中，这似乎是一种值得尝试的治疗方法。
