The treatment of associated intracranial aneurysms and arteriovenous malformations.

Cerebral arterial aneurysm associated with arteriovenous malformation (AVM) has been described with a variable incidence, averaging 10% of AVM cases. The present series includes 39 patients with this association, derived from a total of 400 patients with AVM's evaluated and treated since 1970. The aneurysms are classified into four major groups, each carrying particular therapeutic implications. Optimum treatment of these lesions is based in part on a knowledge of the hemodynamic alterations associated with the AVM's. In most of these cases, the symptomatic lesion was treated first; occasionally, when feasible, both lesions were treated during the same operation. All patients had some form of treatment, either surgical or endovascular, directed to at least one of the two types of lesions. All symptomatic lesions were treated and all ruptured aneurysms were obliterated. There were no deaths in this series.

[1]  G. Forbes,et al.  Unruptured intracranial aneurysms and arteriovenous malformations: frequency of intracranial hemorrhage and relationship of lesions. , 1990, Journal of neurosurgery.

[2]  K. Muraszko,et al.  A study of the reactivity of feeding vessels to arteriovenous malformations: correlation with clinical outcome. , 1990, Neurosurgery.

[3]  A. Dagher,et al.  Hemodynamic and metabolic effects of cerebral arteriovenous malformations studied by positron emission tomography. , 1989, Stroke.

[4]  Y. Ito,et al.  [Treatment of the association of arteriovenous malformation and cerebral aneurysms]. , 1989, No shinkei geka. Neurological surgery.

[5]  F. Tomasello,et al.  Late onset of a large cavernous aneurysm after spontaneous disappearance of cerebral arteriovenous malformation. Case report. , 1989, Journal of Neurosurgical Sciences.

[6]  W. Young,et al.  Monitoring of intraoperative cerebral hemodynamics before and after arteriovenous malformation resection. , 1988, Anesthesia and Analgesia.

[7]  D. Kondziolka,et al.  Cerebral Arteriovenous Malformations with Associated Arterial Aneurysms: Hemodynamic and Therapeutic Considerations , 1988, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[8]  M. Devous,et al.  Cerebrovascular hemodynamics in arteriovenous malformation complicated by normal perfusion pressure breakthrough. , 1988, Neurosurgery.

[9]  C. Azzam,et al.  Growth of multiple peripheral high flow aneurysms of the posterior inferior cerebellar artery associated with a cerebellar arteriovenous malformation. , 1987, Neurosurgery.

[10]  H. Steinmetz,et al.  Cerebral hemodynamics in angioma patients: an intraoperative study. , 1987, Journal of neurosurgery.

[11]  J. Brotchi,et al.  Arteriovenous malformation associated with multiple aneurysms in the posterior fossa: a case report with a review of the literature. , 1987, Neurosurgery.

[12]  R. Spetzler,et al.  Surgical management of large AVM's by staged embolization and operative excision. , 1987, Journal of neurosurgery.

[13]  G. Barnett,et al.  Cerebral circulation during arteriovenous malformation operation. , 1987, Neurosurgery.

[14]  J. Taveras,et al.  High-flow angiopathy: cerebral blood vessel changes in experimental chronic arteriovenous fistula. , 1986, AJNR. American journal of neuroradiology.

[15]  M. Kowada,et al.  Association of arteriovenous malformation and intracranial aneurysm in the posterior fossa. , 1984, Surgical neurology.

[16]  H. Handa,et al.  Location of intracranial aneurysms associated with cerebral arteriovenous malformation: statistical analysis. , 1984, Surgical neurology.

[17]  J. Østergaard.  Association of Intracranial Aneurysm and Arteriovenous Malformation in Childhood , 1984 .

[18]  J. Gilsbach,et al.  Results and value of immediate postoperative angiography after operations for arteriovenous malformations. , 1983, Neurochirurgia.

[19]  F. Tognetti,et al.  Aneurysm growth and hemodynamic stress. , 1983, Surgical neurology.

[20]  R. Grossman,et al.  Xenon-enhanced CT CBF measurements in cerebral AVM's before and after excision. Contribution to pathogenesis and treatment. , 1983, Journal of neurosurgery.

[21]  L. Jayasinghe,et al.  Association of intracranial aneurysm and arteriovenous malformation , 1983, The Medical journal of Australia.

[22]  G. Sypert,et al.  Successful Treatment of the Normal Perfusion Pressure Breakthrough Syndrome , 1982 .

[23]  S. Wolpert,et al.  The association of cerebral aneurysms, infundibula, and intracranial arteriovenous malformations. , 1982, Stroke.

[24]  T. Itakura,et al.  The association of intracranial aneurysms and arteriovenous malformation of the brain. Case report. , 1981, Journal of neurosurgery.

[25]  H. Rizzoli,et al.  Coexisting intracranial aneurysm and arteriovenous malformation: case report. , 1981, Neurosurgery.

[26]  H. Nornes,et al.  Hemodynamic aspects of cerebral arteriovenous malformations. , 1980, Journal of neurosurgery.

[27]  S. Wolpert,et al.  Arteriovenous malformations of the brain. II: Current concepts and treatment. , 1980, Archives of neurology.

[28]  N. Patronas,et al.  Hyperemic and ischemic problems of surgical treatment of arteriovenous malformations. , 1979, Journal of neurosurgery.

[29]  J. Suzuki,et al.  Intracranial aneurysms associated with arteriovenous malformations. , 1979, Journal of neurosurgery.

[30]  J. Chambers,et al.  Giant thrombosed aneurysm associated with an arteriovenous malformation. Case report. , 1978, Journal of neurosurgery.

[31]  J. Suzuki,et al.  [Intracranial aneurysm associated with arteriovenous malformation (author's transl)]. , 1977, No shinkei geka. Neurological surgery.

[32]  H. Shenkin,et al.  Arteriovenous anomaly of the brain associated with cerebral aneurysm. Case report. , 1971, Journal of neurosurgery.

[33]  Stehbens We.  Blood vessel changes in chronic experimental arteriovenous fistulas. , 1968 .

[34]  G. Perret,et al.  Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section VI. Arteriovenous malformations. An analysis of 545 cases of cranio-cerebral arteriovenous malformations and fistulae reported to the cooperative study. , 1966, Journal of neurosurgery.

[35]  H. Locksley,et al.  Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. , 1966, Journal of neurosurgery.

[36]  H. Locksley.  Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6368 cases in the cooperative study. , 1966, Journal of neurosurgery.

[37]  S. Cronqvist,et al.  INTRACRANIAL ARTERIOVENOUS MALFORMATION AND ARTERIAL ANEURYSM IN THE SAME PATIENT , 1966 .

[38]  W. Mccormick.  The pathology of vascular ("arteriovenous") malformations. , 1966, Journal of neurosurgery.

[39]  J. S. Boyd-Wilson.  THE ASSOCIATION OF CEREBRAL ANGIOMAS WITH INTRACRANIAL ANEURYSMS , 1959, Journal of neurology, neurosurgery, and psychiatry.

[40]  E. Housepian,et al.  A SYSTEMATIC ANALYSIS OK INTRACRANIAL ANEURYSMS FROM THE AUTOPSY FILE OF THE PRESBYTERIAN HOSPITAL 1914 to 1956 , 1958, Journal of neuropathology and experimental neurology.

[41]  J. Chason,et al.  Berry Aneurysms of the Circle of Willis , 1958, Neurology.

[42]  W. Mckissock,et al.  A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment: a report of 110 cases. , 1956, Brain : a journal of neurology.

[43]  S. Arieti,et al.  PROGRESSIVE MULTIFORM ANGIOSIS: ASSOCIATION OF A CEREBRAL ANGIOMA, ANEURYSMS AND OTHER VASCULAR CHANGES IN THE BRAIN , 1944 .

[44]  H. Kikuchi,et al.  Deep Supratentorial Arteriovenous Malformation Treated by Intraoperative Liquid Embolization , 1987 .

[45]  H. Batjer,et al.  Intracranial arteriovenous malformations associated with aneurysms. , 1986, Neurosurgery.

[46]  J. Ostergaard.  Association of intracranial aneurysm and arteriovenous malformation in childhood. , 1984, Neurosurgery.

[47]  A. Fox,et al.  Peripheral aneurysms of the cerebellar arteries. Review of 16 cases. , 1983, Journal of neurosurgery.

[48]  E. Guilly,et al.  Radical Surgery in Cerebral AVM—Tactical Procedures Based upon Hemodynamic Factors , 1983 .

[49]  B. Pertuiset,et al.  Preoperative evaluation of hemodynamic factors in cerebral arteriovenous malformations for selection of a radical surgery tactic with special reference to vascular autoregulation disorders. , 1982, Neurological research.

[50]  S. Wolpert,et al.  Arteriovenous malformations of the brain. I: Current concepts and treatment. , 1980, Archives of neurology.

[51]  R. Anderson,et al.  The association of arteriovenous angioma and saccular aneurysm of the arteries of the brain. , 1959, The Journal of pathology and bacteriology.

[52]  F. C. Kelly,et al.  Variation of bound coagulase of Staphylococcus aureus. , 1959, Journal of bacteriology.