Abstract
Arteriovenous malformations (AVMs) located in the temporal lobe appear with clinical and angioarchitectural characteristics that are different from those in other lobar locations. The purpose of this work was to determine these characteristics. Between 1987 and 1990, 27 patients with pure temporal AVMs were referred to our institution for endovascular therapy. The clinical presentation — hemorrhage, epilepsy or other, including progressive neurological deficit and headache — and the following angioarchitectural parameters: characteristics of the venous drainage, type of nidus and presence of aneurysms, were studied. These characteristics were evaluated on selective and superselective angiograms. A clinical presentation of epilepsy was found to correlate with a temporal location of the AVM (P = 0.05). Three angioarchitectural characteristics were found with a higher rate in the temporal location than in other lobar locations: presence of fistula 52% vs 44%, presence of venous stenosis 66% vs 58%, and presence of varix 66% vs 58%. The presence of fistula was the only statistically significant parameter. These characteristics have potential therapeutic implications for endovascular therapy.
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References
Willinsky R, Lasjaunias P, Terbrugge K, Pruvost P (1988) Brain arteriovenous malformations: analysis of the angioarchitecture in relationship to hemorrhage (based on 152 patients explored and/or treated at the hospital Bicêtre between 1981 and 1986). J Neuroradiol 15: 225–237.
Lasjaunias P, Manelfe C, Chui M (1986) Angiographic architecture of intracranial AVMs and fistulas: pretherapeutic aspects. Neurosurg Rev 9: 253–263.
Vinuela F (1986) Identification of an arteriovenous fistula in arteriovenous malformations (abstract). AJNR 7: 553.
Vinuela F, Drake CG, Fox AJ, Pelz DM (1987) Giant intracranial varices secondary to high-flow arteriovenous fistulae. J Neurosurg 66: 198–203.
Vinuela F, Nombela F, Roach MR et al (1985) Stenotic and occlusive disease of the venous drainage system of deep brain AVM’s. J Neurosurg 63: 180–184.
Brown RB Jr, Wiebers DO, Forbes GS (1990) Unruptured intracranial aneurysms and arteriovenous malformations: frequency of intracranial hemorrhage and relationship of lesions. J Neurosurg 73: 859–863.
Crawford PM, West CW, Chadwick DW, Shaw MDM (1986) Arteriovenous malformations of the brain: natural history in unoperated patients. J Neurol Neurosurg Psychiatry 49: 1–10.
Stein BM (1984) Arteriovenous malformations of the medial cerebral hemisphere and the limbic system. J Neurosurg 60: 23–31.
Yeh HS, Kashiwagi S, Tew JM Jr, Berger TS (1990) Surgical management of epilepsy associated with cerebral arteriovenous malformations. J Neurosurg 72: 216–223.
Heros RC (1982) Arteriovenous malformations of the medial temporal lobe. Surgical approach and neuroradiological characterization. J Neurosurg 56: 44–52.
Drake CG (1979) Cerebral arteriovenous malformations: considerations for and experience with surgical treatment in 166 cases. Clin Neurosurg 26: 145–208.
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© 1995 Springer-Verlag Berlin Heidelberg
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Turjman, F., Massoud, T.F., Duckwiler, G., Sayre, J., Guglielmi, G., Viñuela, F. (1995). Arteriovenous malformations of the temporal lobe: clinical and angiographic characteristics. In: Takahashi, M., Korogi, Y., Moseley, I. (eds) Proceedings of the XV Symposium Neuroradiologicum. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79434-6_54
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DOI: https://doi.org/10.1007/978-3-642-79434-6_54
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