Abstract
The authors report their surgical experience with 15 cases of arteriovenous malformations in children operated on in the last decade. Subarachnoid hemorrhage was the main clinical manifestation in 12 patients. Epilepsy was a secondary feature in 3 of these. Cortical areas were involved in 7 cases while the other 8 had the malformation in medial or deep structures of the brain. No mortality occurred from surgery. A radical excision was achieved in 12 cases, while in 3 cases remnants of the lesion were shown by postoperative angiography. Nine patients recovered from surgery without neurological impairment. Two children with left-sided arteriovenous malformations showed mild speech disturbances and 2 others with midline lesions suffered from hypotonus and ataxia.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Drake CG (1979) Cerebral arteriovenous malformations. Considerations for and experience with surgical treatment in 166 cases. Clin Neurosurg 26:145–208
Henderson WR, Gomez RL (1967) Natural history of cerebral angiomas. Br Med J 4:571–574
Hoffman HJ, Chuang S, Hendrick EB, Humphreys RP (1982) Aneurysms of the vein of Galen. Experience at the Hospital for Sick Children, Toronto. J Neurosurg 57:316–322
Hoorihan MD, Gates PC, McAllister VL (1984) Subarachnoid hemorrhage in childhood and adolescence. J Neurosurg 50:1163–1166
Jane JA, Kassell NF, Torner JC, Winn HC (1985) The natural history of aneurysms and arterio-venous malformations. J Neurosurg 62:321–323
Kunc Z (1974) Surgery of arteriovenous malformations in the speech and motor-sensory regions. J Neurosurg 40:293–303
Long DM, Selgeskog EL, Chou SN, French LA (1974) Giant arteriovenous malformations of infancy and childhood. J Neurosurg 40:304–312
Michelsen WI (1979) Natural history and pathophysiology of arteriovenous malformations. Clin Neurosurg 26:307–313
Mori K, Murata T, Hashimoto N, Handa H (1980) Clinical analysis of arteriovenous malformations in children. Child's Brain 6:13–25
Parkinson D, Bachers G (1980) Arteriovenous malformations. Summary of 100 consecutive supratentorial cases. J Neurosurg 53:285–299
Perret G, Nishioka H (1966) Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage, sect 4. Arteriovenous malformations and fistulae reported to the cooperative study. J. Neurosurg 25:467–490
Pertuiset B, Ancri D, Sichez JP, Chauvin M, Guilly E, Metzger J, Gardeur D, Basset JY (1983) Radical surgery in AVM. In: Krayenbühl H (ed) Advances and technical standards in neurosurgery, vol 10. Springer, Wien New York, pp 81–143
Schuster H, Koos WT (1976) On the problems of aneurysms of the central nervous system in childhood. In: Koos WT, Bock FW, Spetzler RF (eds) Clinical microneurosurgery. Thieme, Stuttgart, pp 221–225
Sedzimir CB, Robinson J (1973) Intracranial hemorrhage in children and adolescents. J Neurosurg 38:269–281
So SC (1978) Cerebral arteriovenous malformations in children. Child's Brain 4:242–250
Spetzler RF, Wilson CB, Weinstein P, Mehdorn M, Townsend J, Telles D (1978) Normal perfusion pressure breakthrough theory. Clin Neurosurg 25:651–672
Stein BM (1984) Arteriovenous malformations of the medial cerebral hemisphere and the limbic system. J Neurosurg 60:23–31
Troupp H (1977) Natural history of arteriovenous malformations. Symposium on Aneurysms, Arteriovenous Malformations and Carotidocavernous Fistulae, University of Chicago, November 1977
Wilson CB, Hoi Sang U, Dominguez J (1979) Microsurgical treatment of intracranial vascular malformations. J Neurosurg 51:446–454
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Eiras, J., Gómez-Perún, J., Carcavilla, L.I. et al. Surgical experience with arteriovenous malformations in children. Child's Nerv Syst 3, 156–160 (1987). https://doi.org/10.1007/BF00717892
Issue Date:
DOI: https://doi.org/10.1007/BF00717892