Clinical Experience and Results of Microsurgical Resection of Arterioveonous Malformation in the Presence of Space-Occupying Intracerebral Hematoma.
BACKGROUND
Management of ruptured arteriovenous malformations (AVMs) with a mass-producing intracerebral hematoma (ICH) represents a surgical dilemma.


OBJECTIVE
To evaluate the clinical outcome and obliteration rates of microsurgical resection of AVM when performed concomitantly with evacuation of an associated space-occupying ICH.


METHODS
Data of patients with AVM were collected prospectively. Cases were identified in which an AVM was resected and an associated space-occupying ICH was evacuated at the same time, and divided into "group 1," in which the surgery was performed acutely within 48 h of presentation (secondary to elevated intracranial pressure); and "group 2," in which selected patients were operated upon in the presence of a liquefying ICH in the "subacute" stage. Clinical outcomes were assessed using the modified Rankin Scale, with a score of 0 to 2 considered a good outcome. Obliteration rates were assessed using postoperative angiography.


RESULTS
From 2001 to 2015, 131 patients underwent microsurgical resection of an AVM, of which 65 cases were included. In "group 1" (n = 21; Spetzler-Ponce class A = 13, class B = 5, and class C = 3), 11 of 21 (52%) had a good outcome and in 18 of 19 (95%) of those who had a postoperative angiogram the AVMs were completely obliterated. In "group 2" (n = 44; Spetzler-Ponce class A = 33, class B = 9, and class C = 2), 31 of 44 (93%) had a good outcome and 42 of 44 (95%) were obliterated with a single procedure. For supratentorial AVMs, the ICH cavity was utilized to provide an operative trajectory to a deep AVM in 11 cases, and in 26 cases the ICH cavity was deep to the AVM and hence facilitated the deep dissection of the nidus.


CONCLUSIONS
In selected patients the presence of a liquefying ICH cavity may facilitate the resection of AVMs when performed in the subacute stage resulting in a good neurological outcome and high obliteration rate.
Department of Neurosurgery, Adden-brooke's Hospital, Cambridge, UK.
Damiano G
DG
Barone
Department of Neurosurgery, Adden-brooke's Hospital, Cambridge, UK.
Hani J
HJ
Marcus
Department of Neurosurgery, Adden-brooke's Hospital, Cambridge, UK.
Mathew R
MR
Guilfoyle
Department of Neuroradiology, Adden-brooke's Hospital, Cambridge, UK.
J Nicholas P
JNP
Higgins
Department of Neuroradiology, Adden-brooke's Hospital, Cambridge, UK.
Nagui
N
Antoun
Department of Neurosurgery, Adden-brooke's Hospital, Cambridge, UK.
Thomas
T
Santarius
Department of Neurosurgery, Adden-brooke's Hospital, Cambridge, UK.
Rikin A
RA
Trivedi
Department of Neurosurgery, Adden-brooke's Hospital, Cambridge, UK.
Ramez W
RW
Kirollos
D000328:Adult; D000368:Aged; D000792:Angiography; D002543:Cerebral Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D006406:Hematoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D018579:Patient Selection; D016896:Treatment Outcome; D055815:Young Adult
Arteriovenous malformation; Brain; Cerebrovascular; Intracerebral hematoma; Morbidity; Mortality; Timing of surgery