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儿童动静脉畸形的临床分析

Clinical analysis of arteriovenous malformations in children.

作者信息

Mori K, Murata T, Hashimoto N, Handa H

出版信息

Childs Brain. 1980;6(1):13-25. doi: 10.1159/000119880.

DOI:10.1159/000119880
PMID:7351159
Abstract

28 cases of arteriovenous malformations (AVMs) in children were analyzed and compared with 18 adolescent and 106 adult cases. The findings were: (1) intracerebral hematoma due to rupture of AVMs and focal neurologic deficits were more frequent in children, (2) Operative mortality was higher in children than in adults in cases where total removal was not feasible. (3) Follow-up results suggested that the prognosis in children was less favorable than in adults. (4) When dealing with spontaneous intracerebral hematoma in children care should be taken to search for underlying cryptic AVMs.

摘要

对28例儿童动静脉畸形(AVM)进行了分析,并与18例青少年和106例成人病例进行了比较。结果如下:(1)儿童因AVM破裂导致的脑内血肿和局灶性神经功能缺损更为常见;(2)在无法完全切除的病例中,儿童的手术死亡率高于成人;(3)随访结果表明,儿童的预后不如成人;(4)在处理儿童自发性脑内血肿时,应注意寻找潜在的隐匿性AVM。

相似文献

1
Clinical analysis of arteriovenous malformations in children.儿童动静脉畸形的临床分析
Childs Brain. 1980;6(1):13-25. doi: 10.1159/000119880.
2
[Risk of hemorrhage and size of hematoma in patients with cerebral arteriovenous malformations].
Neurol Neurochir Pol. 2000 Sep-Oct;34(5):909-17.
3
Microsurgical results for small arteriovenous malformations accessible for radiosurgical or embolization treatment.对于可采用放射外科或栓塞治疗的小型动静脉畸形的显微手术结果。
Neurosurgery. 1997 Apr;40(4):664-72; discussion 672-4. doi: 10.1097/00006123-199704000-00003.
4
Is surgical therapy needed for unruptured arteriovenous malformations?未破裂动静脉畸形是否需要手术治疗?
Neurology. 1987 Feb;37(2):279-86. doi: 10.1212/wnl.37.2.279.
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Natural history of arteriovenous malformations of the brain: a clinical study.脑动静脉畸形的自然病史:一项临床研究。
Neurosurgery. 1984 Nov;15(5):658-62. doi: 10.1227/00006123-198411000-00003.
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Intracerebellar hemorrhage due to rupture of angiomatous malformations in the cerebellum.小脑内血管畸形破裂导致的小脑出血。
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[Clinical aspects and diagnosis of arteriovenous malformations in the acute stage of hemorrhage].[出血急性期动静脉畸形的临床特征与诊断]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(7):32-7.
8
Low flow (cryptic) arteriovenous malformation and spontaneous haematoma.
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Hematoma of the quadrigeminal plate. Case report.四叠体板血肿。病例报告。
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[Spontaneous intracerebral hematomas--in relation to small angiomatous malformations (author's transl)].[自发性脑内血肿——与小型血管瘤样畸形的关系(作者译)]
No Shinkei Geka. 1977 Feb;5(2):103-12.

引用本文的文献

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Pediatric cerebral arteriovenous malformation diagnosed 11 years after neonatal thalamic hemorrhage: illustrative case.新生儿丘脑出血11年后诊断出的小儿脑动静脉畸形:病例说明
J Neurosurg Case Lessons. 2025 May 5;9(18). doi: 10.3171/CASE25124.
2
Spontaneous intracranial haemorrhage in children-intensive care needs and predictors of in-hospital mortality: a 10-year single-centre experience.儿童自发性颅内出血——重症监护需求及院内死亡的预测因素:一项为期10年的单中心经验
Childs Nerv Syst. 2019 Aug;35(8):1371-1379. doi: 10.1007/s00381-019-04209-w. Epub 2019 Jun 4.
3
Surgical management of pediatric cerebral arteriovenous malformations.
小儿脑动静脉畸形的外科治疗
Childs Nerv Syst. 2010 Oct;26(10):1337-44. doi: 10.1007/s00381-010-1211-1. Epub 2010 Jul 2.
4
Incidence of vascular malformations in spontaneous intra-cerebral haemorrhage in children.儿童自发性脑出血中血管畸形的发生率。
Childs Nerv Syst. 2007 Aug;23(8):881-6. doi: 10.1007/s00381-007-0322-9. Epub 2007 Apr 21.
5
Surgical results in pediatric Spetzler-Martin grades I-III intracranial arteriovenous malformations.小儿Spetzler-Martin I-III级颅内动静脉畸形的手术结果
Childs Nerv Syst. 2005 Jan;21(1):69-74; discussion 75-6. doi: 10.1007/s00381-004-1025-0. Epub 2004 Aug 18.
6
Cerebral arteriovenous malformations in children: report on 62 cases.儿童脑动静脉畸形:62例报告。
Childs Nerv Syst. 1994 Jul;10(5):328-33. doi: 10.1007/BF00335172.
7
Cerebral arteriovenous malformations in children. Management of 179 consecutive cases and review of the literature.儿童脑动静脉畸形。179例连续病例的治疗及文献综述。
Childs Nerv Syst. 1995 Feb;11(2):66-79; discussion 79. doi: 10.1007/BF00303807.
8
Nongalenic cerebral arteriovenous malformations in neonates and infants. Review of 26 consecutive cases (1982-1992).新生儿和婴儿非盖伦型脑动静脉畸形。26例连续病例回顾(1982 - 1992年)
Childs Nerv Syst. 1995 Apr;11(4):231-41. doi: 10.1007/BF00277659.
9
Anaesthesia for cerebral arteriovenous malformations in children.儿童脑动静脉畸形的麻醉
Can Anaesth Soc J. 1982 Jul;29(4):299-306. doi: 10.1007/BF03007516.
10
Growing intracranial arteriovenous malformation in a newborn.新生儿颅内动静脉畸形不断增大
Childs Nerv Syst. 1986;2(5):270-2. doi: 10.1007/BF00272502.