Arterio-venous malformations of the basal ganglia. Surgical versus endovascular treatment.
Technique, indications and results of endovascular occlusion by superselective embolization of basal ganglia arterio-venous malformations (AVM's) are discussed, based on personal experiences with 21 cases and 41 embolizations. Follow-up was available in 17 cases. Total occlusion could be achieved in 4 cases, partial occlusion in 12, and one was extirpated microsurgically. Further haemorrhages after partial occlusion occurred in two cases. Neurological symptoms improved in 6 cases and remained unchanged in 11.
Richling
B
B
Department of Neurosurgery, University of Vienna Medical School, Austria.
Bavinzski
G
G
D000293:Adolescent; D000328:Adult; D001479:Basal Ganglia / Q000098:blood supply*; D001932:Brain Neoplasms / Q000175:diagnosis / Q000601:surgery*; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006391:Hemangioma / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000209:etiology