Cerebral arteriovenous malformations in children: report on 62 cases

✍ Scribed by Jean-Pierre Hladky; Jean-Paul Lejeune; Serge Blond; Jean-Pierre Pruvo; Patrick Dhellemmes

• Publisher: Springer
• Year: 1994
• Tongue: English
• Weight: 596 KB
• Volume: 10
• Category: Article
• ISSN: 0256-7040
• DOI: 10.1007/bf00335172

✦ Synopsis

A series of 62 children with cerebral arteriovenous malformations admitted to our department in the course of 17 years (1975-1992) was reviewed in a retrospective study. In 54 cases hemorrhagic stroke was the first presenting symptom, followed by epilepsy in five cases. On admission 26 children presented with a neurological deficit, and 21 were admitted with a grade 3 status according to Botterell. Fifty-one malformations were supratentorial (41 hemispheric, 10 deep-seated) while 11 were infratentorial. According to Mori's criteria, 28 lesions were small, 19 medium, and 15 large. Fifty-two children were operated on, with total excision of the malformation achieved in 47 cases. In two children the malformation recurred. The evolution of neurological disorders has been studied with a mean follow-up of 8.5 years. Fifty patients had a satisfactory outcome on the Glasgow Outcome Scale. Four children died. These results were compared with those reported elsewhere in the pediatric literature.