title: Angioarchitecture and clinical presentation of brain arteriovenous malformations.
abstract: The purpose of this study was to correlate the angioarchitecture of brain arteriovenous malformations (AVM) with their clinical presentation. A total of 170 patients with AVM 78 males and 92 females, were studied. Univariate and multivariate analyses were conducted in order to test the associations between morphological features and clinical presentation. The most frequent clinical presentations at diagnosis were hemorrhage in 89 (52%) patients, headache in 79 (46%), focal neurological deficit in 54 (32%), and seizure in 52 (31%). According to the Spetzler-Martin classification, grade I was found in 15 patients, II in 49, III in 55, IV in 41, and grade V in 10 patients. AVM with small nidus size, single feeding artery and single draining vein were associated with hemorrhage. Hemorrhage was positively associated with Spetzler-Martin grade I and negatively with grade V. The association between seizure and large nidus size was positive, however negative with small nidus size.
authors: Hospital de Base de São José do Rio Preto, SP, Brazil. neurocirurgiaendovascular@yahoo.com.br
authors: Marcio Luiz Tostes dos
authors: ML
authors: Santos
authors: Zeferino
authors: Z
authors: Demartini Júnior
authors: Luiz Afonso Dias
authors: LA
authors: Matos
authors: Antonio Ronaldo
authors: AR
authors: Spotti
authors: Waldir Antônio
authors: WA
authors: Tognola
authors: Atos Alves de
authors: AA
authors: Sousa
authors: Rosangela Minto Tostes dos
authors: RM
authors: Santos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D002533:Cerebral Angiography; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D002538:Intracranial Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D055815:Young Adult