258352

Evaluation of Cerebral Arteriovenous Malformations (AVMs): Postoperative Endovascular Intervention Clinical and Radiological Outcome in Al-Azhar Hospitals

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Medicine

Abstract

Background: Arteriovenous malformation (AVMs) is a collection of dysplsatic plexiform vessels that is supplied by one or more arterial feeders and drained by one or more venous channels. AVMs may have a pure plexiform nidus or contain a mixed plexiform fistulous nidus.
Objective: To evaluate cerebral AVMs postoperative endovascular embolization by intervention, clinical and radiological outcome  in a sample of Egyptian patients.
Patients and Methods: This was a  retrospective  study of all consecutive patients who had underwent endovascular embolization for cerebral AVMs between December 2006 up to April 2021.One hundred sixty-nine (169) patients (91 female and 78 males) with cerebral arteriovenous malformations were treated by embolization at the Neurointervention Unit at Al-Hussein Hospital University
Results: The mean age in our study was 32.85 years with a range of 6-80 years, and the standard deviation was 14.875 years . The sex distribution showed slight higher incidence in females (53.8%) than in males (46.2%), and twenty eight patients (16.6%) were with family history of cerebral AVMs. The most common presnetation was intracranial hemorrhage (prsented as weakness), seizure came second, and headache came third Other neurological deficits (focal deficits , learning disability  and cognitive impairment) were due to AVM itself. were significant difference in nidus diameter, and the Spetzler and Martin grading of the cerebral AVMs after embolization in comparison to before embolization.
Conclusion: The endovascular treatment of the cerebral AVMs was safe, efficient and achieved high rates of total and near total occlusion.

DOI

10.21608/amj.2022.258352

Keywords

Cerebral Arteriovenous Malformations (AVM), and Postoperative Endovascular Intervention Clinical, Radiological Outcome

Authors

First Name

Ahmed

Last Name

Nabil Hussein

MiddleName

-

Affiliation

Neurology Department, Faculty of Medicine, Al-Azhar University

Email

elagouz22@gmail.com

City

-

Orcid

-

First Name

Khaled

Last Name

Mohamed Sobh

MiddleName

-

Affiliation

Neurology Department, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Mahmoud

Last Name

Galal Ahmed

MiddleName

-

Affiliation

Neurology Department, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

Volume

51

Article Issue

4

Related Issue

36242

Issue Date

2022-08-01

Receive Date

2022-09-07

Publish Date

2022-08-01

Page Start

2,217

Page End

2,228

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_258352.html

Detail API

https://amj.journals.ekb.eg/service?article_code=258352

Order

29

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

Evaluation of Cerebral Arteriovenous Malformations (AVMs): Postoperative Endovascular Intervention Clinical and Radiological Outcome in Al-Azhar Hospitals

Details

Type

Article

Created At

22 Jan 2023