Cerebral arteriovenous malformations in children: report on 62 cases.
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.
Hladky
J P
JP
Department of Neurosurgery, Hospital B, Lille, France.
Lejeune
J P
JP
Blond
S
S
Pruvo
J P
JP
Dhellemmes
P
P
D000293:Adolescent; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D008297:Male; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D016634:Radiosurgery; D012008:Recurrence