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Angioarchitecture and clinical presentation of brain arteriovenous malformations

2009; Thieme Medical Publishers (Germany); Volume: 67; Issue: 2a Linguagem: Inglês

10.1590/s0004-282x2009000200031

1678-4227

Márcio Luiz Tostes dos Santos, Zeferino Demartini, Luiz Afonso Dias Matos, Antônio Ronaldo Spotti, Waldir Antônio Tognola, Atos Alves de Sousa, Rosângela Minto Tostes dos Santos,

Intracranial Aneurysms: Treatment and Complications

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.