Angioarchitecture and clinical presentation of brain arteriovenous malformations.
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.
Santos
Marcio Luiz Tostes dos
ML
Hospital de Base de São José do Rio Preto, SP, Brazil. neurocirurgiaendovascular@yahoo.com.br
Demartini Júnior
Zeferino
Z
Matos
Luiz Afonso Dias
LA
Spotti
Antonio Ronaldo
AR
Tognola
Waldir Antônio
WA
Sousa
Atos Alves de
AA
Santos
Rosangela Minto Tostes dos
RM
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