Cerebral arteriovenous malformations in elderly
Seven patients with arteriovenous malformation (AVM) in which their initial symtom occured over 60-year-old were reported. The average age of these patients was 68.1 year-old. Those cases accounted for 3.5% of all AVM cases. The AVMs located in the supratentorial region in all cases. Intracerebral h...
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Published in | Japanese Journal of Stroke Vol. 12; no. 5; pp. 501 - 503 |
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Main Authors | , , |
Format | Journal Article |
Language | Japanese |
Published |
The Japan Stroke Society
1990
|
Subjects | |
Online Access | Get full text |
ISSN | 0912-0726 1883-1923 |
DOI | 10.3995/jstroke.12.501 |
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Abstract | Seven patients with arteriovenous malformation (AVM) in which their initial symtom occured over 60-year-old were reported. The average age of these patients was 68.1 year-old. Those cases accounted for 3.5% of all AVM cases. The AVMs located in the supratentorial region in all cases. Intracerebral hematoma due to ruptured AVM was the initial symptom in 4 cases. In other cases, associated aneurysmal rupture, seizure disorder and TIA attack was the first symptom, respectively. Finally, five AVMs had ruptured and four cases were operated for hematoma removal. Functional recovery of the patients was not very good in hematoma cases. According to the literatures, the incidence of AVM in elderly was not rare and ratio of their rupture was not uncommon. AVM is an important clinical entity on diagnosing and treating elderly persons with cerebrovascular disease. |
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AbstractList | Seven patients with arteriovenous malformation (AVM) in which their initial symtom occured over 60-year-old were reported. The average age of these patients was 68.1 year-old. Those cases accounted for 3.5% of all AVM cases. The AVMs located in the supratentorial region in all cases. Intracerebral hematoma due to ruptured AVM was the initial symptom in 4 cases. In other cases, associated aneurysmal rupture, seizure disorder and TIA attack was the first symptom, respectively. Finally, five AVMs had ruptured and four cases were operated for hematoma removal. Functional recovery of the patients was not very good in hematoma cases. According to the literatures, the incidence of AVM in elderly was not rare and ratio of their rupture was not uncommon. AVM is an important clinical entity on diagnosing and treating elderly persons with cerebrovascular disease. |
Author | Kai, Yutaka Fuwa, Isao Wada, Hidetaka |
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References | 13) 古場群己, 金子満雄, 保坂泰昭, 他 : Cryptic AVMの発見法および自験16症例の臨床・病理学的検討.Neurol Med Chir (Tokyo) 20 : 507-519, 1980 6) Trumpy JH, Eldevik P : Intracranial arteriovenous malformations : Conservative or surgical management ? Surg Neurol 8 : 171-175, 1977 16) Crawford PM, West CR, Chadwick DW : Arteriovenous malformations of the brain : Natural history in unoperated patients. J Neurol Neurosurg Psychiatry 49 : 1-10, 1986 14) Wakai S, Ueda Y, Inoh S, et al : Angiographically occult angiomas : A report of thirteen cases with analysis of the cases documented in the literature. Neurosurgery 17 : 549-556, 1985 2) 半田 肇.脳神経外科学.永井書店, 大阪, 1986, pp738-748 4) Graf CJ, Perrett G, Torner JC : Bleeding from cerebral arteriovenous malformations as part of their natural history. Neurosurg 58 : 331-337, 1983 10) Luessenhop AJ, Rosa L : Cerebral arteriovenous malformations. Indications for and results of surgery, and the role of intravascular techniques. J Neurosurg 60 : 14-22, 1984 12) Garza-Mercado R : Cerebral arteriovenous malformations : Microneurosurgical tretment. Cirug Ciruj (Mexico City) 51 : 373-384, 1983 5) Parkinson D, Bachers G : Arteriovenous malformations. Summary of 100 consecutive supratentorial cases. J Neurosurg 53 : 285-299, 1980 9) Nornes H, Lunder T, Wikeby P : Cerebral arteriovenous malformations : Results of microsurgical management. Acta Neurochir 50 : 243-257, 1979 17) Guidetti B, Delitala A : Intracranial arteriovenous malformations. Conservative and surgical treatment. J Neurosurg 53 : 149-152, 1980 7) Moody RA, Poppen JL : Arteriovenous malformations. J Neurosurg 32 : 503-511, 1970 3) 落合慈之 : 脳動静脈奇形の治療.The 2nd meeting of the Mt. Fuji Workshop on CVD.小玉株式会社, 東京, 1984, pp19-26 18) Aoki N, Mizutani H : Arteriovenous malformation in the territory of the occluded middle cerebral artery with massive intraoperative brain swelling : Case report. Neurosurgery 16 : 660-662, 1985 11) Mohr J : Intracranial arteriovenous malformations. Williams and Wilkins, Baltimore London, 1984, ppl-11 8) Perret G, Nishioka H : Report on the cooperative study of intracranial aneurysms. Arteriovenous malforations. An analysis of 545 cases of craniocerebral arteriovenous malformations.and fistulae reported to the cooperative study. J Neurosurg 25 : 467-490, 1966 15) Fults D, Kelly DL : Natural history of arteriovenous malformations of the brain : A clinical study. Neurosurgery 15 : 658-662, 1984 1) 小沼武英, 鈴木二郎 : 脳動静脈奇形の外科的療法.88例の統計と手術成績.そのfollow-up.脳外2 (1) : 29-37, 1974 |
References_xml | – reference: 5) Parkinson D, Bachers G : Arteriovenous malformations. Summary of 100 consecutive supratentorial cases. J Neurosurg 53 : 285-299, 1980 – reference: 11) Mohr J : Intracranial arteriovenous malformations. Williams and Wilkins, Baltimore London, 1984, ppl-11 – reference: 1) 小沼武英, 鈴木二郎 : 脳動静脈奇形の外科的療法.88例の統計と手術成績.そのfollow-up.脳外2 (1) : 29-37, 1974 – reference: 13) 古場群己, 金子満雄, 保坂泰昭, 他 : Cryptic AVMの発見法および自験16症例の臨床・病理学的検討.Neurol Med Chir (Tokyo) 20 : 507-519, 1980 – reference: 17) Guidetti B, Delitala A : Intracranial arteriovenous malformations. Conservative and surgical treatment. J Neurosurg 53 : 149-152, 1980 – reference: 14) Wakai S, Ueda Y, Inoh S, et al : Angiographically occult angiomas : A report of thirteen cases with analysis of the cases documented in the literature. Neurosurgery 17 : 549-556, 1985 – reference: 10) Luessenhop AJ, Rosa L : Cerebral arteriovenous malformations. Indications for and results of surgery, and the role of intravascular techniques. J Neurosurg 60 : 14-22, 1984 – reference: 8) Perret G, Nishioka H : Report on the cooperative study of intracranial aneurysms. Arteriovenous malforations. An analysis of 545 cases of craniocerebral arteriovenous malformations.and fistulae reported to the cooperative study. J Neurosurg 25 : 467-490, 1966 – reference: 12) Garza-Mercado R : Cerebral arteriovenous malformations : Microneurosurgical tretment. Cirug Ciruj (Mexico City) 51 : 373-384, 1983 – reference: 3) 落合慈之 : 脳動静脈奇形の治療.The 2nd meeting of the Mt. Fuji Workshop on CVD.小玉株式会社, 東京, 1984, pp19-26 – reference: 4) Graf CJ, Perrett G, Torner JC : Bleeding from cerebral arteriovenous malformations as part of their natural history. Neurosurg 58 : 331-337, 1983 – reference: 16) Crawford PM, West CR, Chadwick DW : Arteriovenous malformations of the brain : Natural history in unoperated patients. J Neurol Neurosurg Psychiatry 49 : 1-10, 1986 – reference: 7) Moody RA, Poppen JL : Arteriovenous malformations. J Neurosurg 32 : 503-511, 1970 – reference: 6) Trumpy JH, Eldevik P : Intracranial arteriovenous malformations : Conservative or surgical management ? Surg Neurol 8 : 171-175, 1977 – reference: 15) Fults D, Kelly DL : Natural history of arteriovenous malformations of the brain : A clinical study. Neurosurgery 15 : 658-662, 1984 – reference: 9) Nornes H, Lunder T, Wikeby P : Cerebral arteriovenous malformations : Results of microsurgical management. Acta Neurochir 50 : 243-257, 1979 – reference: 18) Aoki N, Mizutani H : Arteriovenous malformation in the territory of the occluded middle cerebral artery with massive intraoperative brain swelling : Case report. Neurosurgery 16 : 660-662, 1985 – reference: 2) 半田 肇.脳神経外科学.永井書店, 大阪, 1986, pp738-748 |
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