Microsurgical Outcome of Cerebellar Arteriovenous Malformations: Single-Center Experience.
First author:Xianzeng Tong
Corresponding author:Yong Cao, Shuo Wang, Jizong Zhao
2016-11-01
Journal:World Neurosurgery
Publication type: Research Article
IF(IF): 2.104
PMID: 27567580 Link To Pubmed Full text Download
During a 16-year period, 181 patients with cerebellar AVMs were surgically treated at the Department of Neurosurgery in Beijing Tiantan Hospital. Patient functional status was evaluated using modified Rankin Scale (mRS) scores both before treatment and at the last follow-up. The mRS scores at the last follow-up were dichotomized as good outcome (mRS <3) and poor outcome (mRS ‡3). The treatment modalities, post-treatment complications, obliteration rate, and follow-up outcomes were analyzed.
Good outcome can be achieved by microsurgical resection in most patients with cerebellar AVMs. Increasing age at surgery, poor presurgical functional status, eloquent AVM location, and presurgical rehemorrhage are independent predictors of poor outcomes after AVM resection. We recommend early surgical resection for all surgically accessible cerebellar AVMs to prevent subsequent hemorrhage and resultant poor neurologic outcomes.
During a 16-year period, 181 patients with cerebellar AVMs were surgically treated at the Department of Neurosurgery in Beijing Tiantan Hospital. Patient functional status was evaluated using modified Rankin Scale (mRS) scores both before treatment and at the last follow-up. The mRS scores at the last follow-up were dichotomized as good outcome (mRS <3) and poor outcome (mRS ?3). The treatment modalities, post-treatment complications, obliteration rate, and follow-up outcomes were analyzed.