Abstract
Twenty five patients with conservatively treated cerebral arteriovenous malformation were followed up for a mean of 10.6 years after diagnosis. The follow up included neuropsychological examination. Bleeding did not occur after the time of diagnosis. Three patients had moderate to severe neurological deficits, five had moderate to severe intellectual impairment. Nineteen had an unaffected occupational status. It is concluded that the outcome in conservatively treated patients may be no worse than in surgically treated patients.
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Selected References
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- Abad J. M., Alvarez F., Manrique M., Garcia-Blazquez M. Cerebral arteriovenous malformations. Comparative results of surgical vs conservative treatment in 112 cases. J Neurosurg Sci. 1983 Jul-Sep;27(3):203–210. [PubMed] [Google Scholar]
- Carter L. P., Morgan M., Urrea D. Psychological improvement following arteriovenous malformation excision. Case report. J Neurosurg. 1975 Apr;42(4):452–456. doi: 10.3171/jns.1975.42.4.0452. [DOI] [PubMed] [Google Scholar]
- Constans J. P., Assal G. Evolution de la symptomatologie neuropsychologique d'une sérié d'anévrismes arterio-veineux opérés. Neurochirurgia (Stuttg) 1971 Nov;14(6):201–216. doi: 10.1055/s-0028-1090577. [DOI] [PubMed] [Google Scholar]
- Crawford P. M., West C. R., Chadwick D. W., Shaw M. D. Arteriovenous malformations of the brain: natural history in unoperated patients. J Neurol Neurosurg Psychiatry. 1986 Jan;49(1):1–10. doi: 10.1136/jnnp.49.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fults D., Kelly D. L., Jr Natural history of arteriovenous malformations of the brain: a clinical study. Neurosurgery. 1984 Nov;15(5):658–662. doi: 10.1227/00006123-198411000-00003. [DOI] [PubMed] [Google Scholar]
- Graf C. J., Perret G. E., Torner J. C. Bleeding from cerebral arteriovenous malformations as part of their natural history. J Neurosurg. 1983 Mar;58(3):331–337. doi: 10.3171/jns.1983.58.3.0331. [DOI] [PubMed] [Google Scholar]
- Guidetti B., Delitala A. Intracranial arteriovenous malformations. Conservative and surgical treatment. J Neurosurg. 1980 Aug;53(2):149–152. doi: 10.3171/jns.1980.53.2.0149. [DOI] [PubMed] [Google Scholar]
- Iansek R., Elstein A. S., Balla J. I. Application of decision analysis to management of cerebral arteriovenous malformation. Lancet. 1983 May 21;1(8334):1132–1135. doi: 10.1016/s0140-6736(83)92868-4. [DOI] [PubMed] [Google Scholar]
- Moody R. A., Poppen J. L. Arteriovenous malformations. J Neurosurg. 1970 May;32(5):503–511. doi: 10.3171/jns.1970.32.5.0503. [DOI] [PubMed] [Google Scholar]
- Morello G., Borghi G. P. Cerebral angiomas. A report of 154 personal cases and a comparison between the results of surgical excision and conservative management. Acta Neurochir (Wien) 1973;28(3):135–155. doi: 10.1007/BF01432226. [DOI] [PubMed] [Google Scholar]
- Perret G., Nishioka H. Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section VI. Arteriovenous malformations. An analysis of 545 cases of cranio-cerebral arteriovenous malformations and fistulae reported to the cooperative study. J Neurosurg. 1966 Oct;25(4):467–490. doi: 10.3171/jns.1966.25.4.0467. [DOI] [PubMed] [Google Scholar]
- Petersen J., Andersen E. B., Dige-Petersen H., Ahlgren P., Mortensen E. L. Intravenous radionuclide angioscintigraphy and computer tomography in cerebral arteriovenous malformations. Acta Neurol Scand Suppl. 1983;94:49–56. [PubMed] [Google Scholar]
- Svien H. J., McRae J. A. Arteriovenous anomalies of the brain. Fate of patients not having definitive surgery. J Neurosurg. 1965 Jul;23(1):23–28. doi: 10.3171/jns.1965.23.1.0023. [DOI] [PubMed] [Google Scholar]
- Trumpy J. H., Eldevik P. Intracranial arteriovenous malformations: conservative or surgical treatment? Surg Neurol. 1977 Sep;8(3):171–175. [PubMed] [Google Scholar]
- Waltimo O., Putkonen A. R. Intellectual performance of patients with intracranial arteriovenous malformations. Brain. 1974 Sep;97(3):511–520. doi: 10.1093/brain/97.1.511. [DOI] [PubMed] [Google Scholar]
