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- Title
Prirodni tok arteriovenskih malformacija mozga.
- Authors
Tasić, G. M.; Kostić, A.; Djurović, B. M.; Jovanović, V. T.; Nikolić, I. M.; Erić, A. M.; Joković, M. B.; Mićović, M. V.
- Abstract
Arteriovenous cerebral malformations represent congenital malformations. Considering the anatomical characteristics of the cerebral angiomas and their localization, in a great number of cases they demand a combined therapeutic approach - surgery,. embolization and radiotherapy. Besides the constant progress of technology, 5% of all cerebral angiomas can not be completely excluded from the circulation. Therefore, the need to understand their natural course became a necessity. Our results point to the fact that they are vascular malformations of a considerably more benign clinical course than the aneurysms. Our clinical model points to an annual risk of hemorrhage which is 3.3% with total mortality of 5.3%, especially if the size of the angioma is 2.5-5 cm, localized in the motor zone of the brain, with combined type of vein drainage and arterial supply from the vertebrobasilary confluence. Epilepsy caused by the cerebral angioma is in 26.7% refractory to medicamentous therapy and in 25% (every 4th patient) will have hemorrhage with an annual risk of 0.14%.
- Subjects
BRAIN diseases; HUMAN abnormalities; ANGIOMAS; EPILEPSY; TELANGIECTASIA; DISEASE risk factors; MEDICAL screening; MEDICAL technology; MEDICAL research
- Publication
Acta Chirurgica Iugoslavica, 2008, Vol 55, Issue 2, p107
- ISSN
0354-950X
- Publication type
Article