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Cerebral arteriovenous malformations in children: report on 62 cases

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Abstract

A series of 62 children with cerebral arteriovenous malformations admitted to our department in the course of 17 years (1975–1992) was reviewed in a retrospective study. In 54 cases hemorrhagic stroke was the first presenting symptom, followed by epilepsy in five cases. On admission 26 children presented with a neurological deficit, and 21 were admitted with a grade 3 status according to Botterell. Fifty-one malformations were supratentorial (41 hemispheric, 10 deep-seated) while 11 were infratentorial. According to Mori's criteria, 28 lesions were small, 19 medium, and 15 large. Fifty-two children were operated on, with total excision of the malformation achieved in 47 cases. In two children the malformation recurred. The evolution of neurological disorders has been studied with a mean follow-up of 8.5 years. Fifty patients had a satisfactory outcome on the Glasgow Outcome Scale. Four children died. These results were compared with those reported elsewhere in the pediatric literature.

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Authors and Affiliations

  1. Department of Neurosurgery, Hospital B, F-59037, Lille, France

    Jean-Pierre Hladky, Jean-Paul Lejeune, Serge Blond & Patrick Dhellemmes

  2. Department of Neuroradiology, Hospital B, F-59037, Lille, France

    Jean-Pierre Pruvo

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  1. Jean-Pierre Hladky
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  2. Jean-Paul Lejeune
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  3. Serge Blond
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  4. Jean-Pierre Pruvo
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  5. Patrick Dhellemmes
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Hladky, JP., Lejeune, JP., Blond, S. et al. Cerebral arteriovenous malformations in children: report on 62 cases. Child's Nerv Syst 10, 328–333 (1994). https://doi.org/10.1007/BF00335172

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  • DOI: https://doi.org/10.1007/BF00335172

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