课件：脑动静脉畸形大学课件.ppt

Hemorrhage AVM rupture not a function of size no marked increase with exercise, pregnancy, trauma Aneurysm rupture related to aneurysm size increase with trauma exercise, end pregnancy Hemorrhage AVM rupture not a function of size no marked increase with exercise, pregnancy, trauma arteriovenous, therefore less severe Aneurysm rupture related to aneurysm size increase with trauma exercise, end pregnancy arterial, therefore more severe Hemorrhage AVM rupture not a function of size no marked increase with exercise, pregnancy, trauma arteriovenous, therefore less severe mortality 6 to 13.6% Aneurysm rupture related to aneurysm size increase with trauma exercise, end pregnancy arterial, therefore more severe mortality 30-50% Hemorrhage AVM rupture not a function of size no marked increase with exercise, pregnancy, trauma arteriovenous, therefore less severe mortality 6 to 13.6% lower rebleed mortality rate (1%) Aneurysm rupture related to aneurysm size increase with trauma exercise, end pregnancy arterial, therefore more severe mortality 30-50% higher rebleed mortality rate (13%) Hemorrhage AVM rupture not a function of size no marked increase with exercise, pregnancy, trauma arteriovenous, therefore less severe mortality 6 to 13.6% lower rebleed mortality rate (1%) vasospasm rare Aneurysm rupture related to aneurysm size increase with trauma exercise, end pregnancy arterial, therefore more severe mortality 30-50% higher rebleed mortality rate (13%) vasospasm common Hemorrhage - AVM Nonetheless, risk of major, incapacitating, or fatal hemorrhage in untreated lesion is 40 to 50% Hemorrhage - AVM Nonetheless, risk of major, incapacitating, or fatal hemorrhage in untreated lesion is 40 to 50% Yearly risk of initial hemorrhage ~3% Rebleed in first subsequent year 6-18%, reducing to ~3% again thereafter Pediatric prognosis worse than adult Spetzler Martin Grading System Criteria Score Size of Nidus Small (3cm) 1 Medium (3-6cm) 2 Large (6cm) 3 Eloquence of Adjacent B