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KMID : 0383419680090060765
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Korean Modern Medical Journal
1968 Volume.9 No. 6 p.765 ~ p.770
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The Clinical Study on the Intracranial Aneurysms and Arteriovenous Malformations
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韓大熙/Han, Dae Hee
崔炳權/黃度允/沈輔星/Choi, Byung Kwon/Hwang, Doh Yun/Sim, Bo Sung
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Abstract
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Over a period of 11 years and 8 months, from January, 1957 to August, 1968, 29 patients with intracranial aneurysms and arteriovenous malformations had admitted in the neurosurgical department of Seoul National University Hospital.
Of the 29 patients, 25 patients had intracranial aneurysms and 4 patients had arteriovenous malformations of the brain. In patients with aneurysms 14 were male and 11 were female. The age incidence was from 19 years to 62 years. The most frequent age was 30 to 50 in which 19 cases of 29 cases were present. With respect to aneurysms 15 cases of 25 occurred in the same age range.
With respect to symptoms and signs, the most frequent symptom was headache and the most frequent sign was sitffness of the neck. Other symptoms and signs were contralateral motor weakness, pathological reflexes, and bruit in order. In arteriovenous malformations the incidence of convulsive seizure and intracerebral hematoma were more frequent than in aneurysms. A-11 cases were performed.angiographic study and proved as aneurysms or arteriovenous malformations. The hematoma was present 7%25 in aneurysms and 2/4 in AVM. The incidence of vasospasm were 12/29.
In CSF study all cases showed bloody fluid except two unruptured cases.
According to site the most frequent site was internal carotid-posterior communicating region. The frequent site in order middle crebral, posterior cerebral, anterior cerebral-anterior communicating region.
The carotid-cavernous fistula was found in two cases.
The arteriovenous malformations were present in cerebral hemisphere.
The results of treatment were as follows:
Mortality of conservative treatment was 37,0o,
carotid ligation was 1750,
cranitomy was 0%
So total mortality was 00, 20%
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