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KMID : 0368019840070040385
Journal of Soonchunhyang University
1984 Volume.7 No. 4 p.385 ~ p.390
Radiological Evaluation of Intracranial Arteriovenous Malformation



Abstract
In arteriovenous malformation, cerebral angiography is the last and conclusive method of diagnosis, although CT has been helpful for determination of the location and extension of the lesion.
We reviewed cerebral angiography combined with CT of 30 cases of AVM who were suspected clinically during the period from Jan. 1979 to Dec. 1983 in SCH hospital. The results were as follows:
1. The sex distribution of cases was 17 males and 13 females (1.3 1) and 60% of cases were between second and forth decade.
2. In CSF finding, subarachnoid hemorrhage were noted in 9 cases. (6%)
3. Only 1 case showed calcification in simple skull series and the others were normal.
4. The locations were parietal area(46%), frontal area(2l%), temporal area(11/) and left side was more common than the right side. (62%)
5. The feeding arteries were MCA(32%), ACA(32%), PCA(7%)
were superior cortical vein(32%), inferior sagittal sinus(12%),
internal cerebral vein(12%). Multiple feeding arteries were noted intone case.
6. The size was, between 1-2cm was 12 cases(41%), below loin was 7 cases(20%), between
3?4cm was 5 cases(16%), and above 4cm was 3 cases(13%).
7. CT was done in 26 cases, Among these, 4 cases(15%) showed serpingineous mixed density with marked enhancement and remainders showed intracerebral, intraventricular and subarachnoid hemorrhage, ischemic change, mass effect and hydrocephalus.
8. Conservative therapy was done in 12 cases, total removal of anomalous vessels in 14 cases, clipping in 2 cases and radiation therapy in one case.
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