Trumpy J H, Eldevik P
Surg Neurol. 1977 Sep;8(3):171-5.
Of 89 patients with arteriovenous malformations of the brain, 47 were conservatively treated, nine of these died (19%), four with the first bleed, five of recurrent bleeding. Of 42 surgically treated patients, five died, a mortality of 12%. Four of these deaths occurred with patients in a deteriorating clinical condition caused by large intracerebral haematomas. The fifth death occurred with a recurrent bleeding where a ligation of feeding artery was the only treatment. There were no deaths in those patients in good clinical condition who underwent an excision of the malformation. Total excision of arteriovenous malformations should be performed whenever possible.
在89例脑动静脉畸形患者中，47例接受了保守治疗，其中9例死亡（19%），4例死于首次出血，5例死于反复出血。在42例接受手术治疗的患者中，5例死亡，死亡率为12%。其中4例死亡发生在因大脑内巨大血肿导致临床状况恶化的患者中。第5例死亡发生在反复出血的患者中，当时唯一的治疗方法是结扎供血动脉。接受畸形切除术且临床状况良好的患者无死亡病例。只要有可能，应尽可能对脑动静脉畸形进行完全切除。
