Establishment of joint evidence-based Japanese guideline for treatment of stroke

幸人, 篠原

doi:10.3995/jstroke.24.452

Cited by 1 publication

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“…The American Heart Association Scientific Statement 11) and Japanese Guidelines 14) on the management of intracranial AVMs also recommend conservative follow up for grade IV and V AVMs unless accompanied by massive hematoma, associated aneurysm, or progressive neurological deterioration. 4,10,12,14,16) However, giant occipital AVMs are good candidates for microsurgery despite their size. 22) Here we describe two cases of giant occipital AVM cured by microsurgery.…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Non-ruptured Giant Occipital Arteriovenous Malformations With Frequent Migraine-Like Headache-Two Case Reports-

Nagata

Morioka

Natori

et al. 2006

Neurol. Med. Chir.(Tokyo)

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Two patients with giant occipital arteriovenous malformation (AVM) underwent microsurgical treatment among 294 patients with intracranial AVM treated between 1981 and 2004. The patients were aged 52 and 65 years and showed common symptoms consisting of long-term frequent migraine-like headaches with visual aura and recent homonymous hemianopia. Common neuroimaging findings were abundant dural feeders plus feeders from the posterior, middle, and anterior cerebral arteries, and deep drainers to the galenic system. Both patients underwent preoperative staged embolization and total microsurgical removal of the nidus with a neuronavigation system. Both patients returned to ordinary life without the need for assistance. These findings emphasize that giant occipital AVM, even if unruptured, is surgically treatable with acceptable morbidity.

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