Prevention of Stroke from Cerebral Vascular Malformations

  • Ricardo Garcia-Monaco
  • Pierre Lasjaunias
  • Alex Berenstein


Cerebral vascular malformations (CVMs) produce both hemorrhagic and ischemic stroke. Cerebral hemorrhage is the most frequent type of stroke, and almost 50% of arteriovenous malformations (AVMs) present with parenchymatous hematoma. Ischemic stroke is less frequent but is also seen in large AVMs or arteriovenous fistulas. It is commoner in children and is due to venous thrombosis within the vascular lesion, arterial “steal,” or associated Moya-Moya or coagulation disturbances.


Cerebral Hemorrhage Moya Moya Disease Cavernous Hemangioma False Aneurysm Arterial Aneurysm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Garretson H. Intracranial arteriovenous malformations. In: Wilkins RH, Rengachary SS, eds. Neurosurgery. New York: McGraw-Hill; 1985: pp 1448–1458.Google Scholar
  2. 2.
    Jellinger K. Vascular malformations of the central nervous system: a morphological overview. Neurosurg Rev. 1986;9:177–216.PubMedCrossRefGoogle Scholar
  3. 3.
    Stein BM, Wolpert SM. Arteriovenous malformations of the brain I: current concepts and treatment. Arch Neurol. 1980;37:69–75.PubMedCrossRefGoogle Scholar
  4. 4.
    Drake CG. Cerebral arteriovenous malformations. Clin Neurosurg. 1979;26:145–208.PubMedGoogle Scholar
  5. 5.
    Spetzler RF, Martin NA. A proposed grading system for arteriovenous malformations J Neurosurg. 1986; 65:476–483.PubMedCrossRefGoogle Scholar
  6. 6.
    MacCormick WE The pathology of vascular (arteriovenous) malformations. J Neurosurg. 1966;24:807.CrossRefGoogle Scholar
  7. 7.
    Berenstein A, Lasjaunias P. Surgical Neuroangiography. Vol. 4. New York, NY: Springer Verlag; 1990.Google Scholar
  8. 8.
    Willinsky R, Lasjaunias P, Terbrugge K, et al. Brain arteriovenous malformations: analysis of angioarchitecture in relationship to hemorrhage. J Neuroradiol. 1988;15:225–237.PubMedGoogle Scholar
  9. 9.
    Crawford PM, West CW, Chadwick DW, et al. Arteriovenous malformations of the brain: natural history of unoperated patients. J Neurol Neurosurg and Psychiatry. 1986;49:1–10.CrossRefGoogle Scholar
  10. 10.
    Pertuiset B, Sichez J, Philippon H, et al. Mortalité et morbidité après éxérèse chirurgicale totale de 162 malformations artérioveineuses intracraniennes. Rev Neurol. 1979;135:319–327.PubMedGoogle Scholar
  11. 11.
    Yamada S. Arteriovenous malformations in the functional area: surgical treatment and regional cerebral blood flow. Neurol Res. 1982;4:283–322.PubMedGoogle Scholar
  12. 12.
    Yasargil M. Microneurosurgery. Vol. IIIa. Stuttgart: George Thieme Verlag; 1987.Google Scholar
  13. 13.
    Duvernoy H, Delon S, Vannson J. Cortical blood vessels of the human brain. Brain Res Bull. 1981; 7:519–579.PubMedCrossRefGoogle Scholar
  14. 14.
    Willinsky R, Lasjaunias P, Comoy J, et al. Cerebral micro-arteriovenous malformations. Review of 13 cases. Acta Neurochir. 1988;91:37–41.PubMedCrossRefGoogle Scholar
  15. 15.
    Batjer H, Suss R, Samson E. Intracranial arteriovenous malformations associated with aneurysms. Neurosurgery. 1986;18:29–35.PubMedCrossRefGoogle Scholar
  16. 16.
    Miyasaka K, Wolpert S, Prager R. The association of cerebral aneurysm, infundibula, and intracranial arteriovenous malformations. Stroke. 1982;13:186–203.CrossRefGoogle Scholar
  17. 17.
    Lasjaunias P, Piske R, Terbrugge K, et al. Cerebral arteriovenous malformations and associated arterial aneurysms Acta Neurochir. 1988;91:29–36.PubMedCrossRefGoogle Scholar
  18. 18.
    Paterson J, McKissock W. A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment. A report of 110 cases. Brain. 1986;70:233–266.Google Scholar
  19. 19.
    Hayashi S, Arimoto T, Itakura T. The association of intracranial aneurysms and arteriovenous malformation of the brain: case report. J Neurosurg. 1981; 55:971–975.PubMedCrossRefGoogle Scholar
  20. 20.
    Perret G, Nishioka H. Report of the cooperative study of intracranial aneurysms and subarachnoid hemorrhage: VI. Arteriovenous malformations: an analysis of 545 cases of craniocerebral malformations and fistulae reported to the cooperative study. J Neurosurg, 1966;25:467–490.PubMedCrossRefGoogle Scholar
  21. 21.
    Garcia Monaco R, Goulao A, Alvarez H, et al. Posterior fossa arteriovenous malformations: angioarchitecture in relationship to hemorrhage. Neuroradiology. 1990;31:471–475.CrossRefGoogle Scholar
  22. 22.
    Deutsch, G. Blood flow changes in arteriovenous malformations during behavioral activation. Annals of Neurology. 1983;13:38–43.PubMedCrossRefGoogle Scholar
  23. 23.
    Pille-Spellman J, Backer K, Liszczal T. High flow angiopathy: cerebral blood vessels changes in experimental chronic arteriovenous fistulae. AJNR. 1986;7:811–816.Google Scholar
  24. 24.
    Mawad M, Hilal S, Michelsen W, et al. Occlusive vascular disease associated with cerebral arteriovenous malformations. Radiology. 1989;153:401–408.Google Scholar
  25. 25.
    Suzuki J. Moya Moya disease. New York: Springer Verlag; 1986.CrossRefGoogle Scholar
  26. 26.
    Laine E, Jamin M, Clarisse J, et al. Les malformations artérioveineuses cérébrales profondes. Neurochirurgie. 1981;27:147–160.PubMedGoogle Scholar
  27. 27.
    Lasjaunias P, Manelfe C, Chiu M. Angiographic architecture of intracranial vascular malformations and fistulas — pretherapeutic aspects. Neurosurg Rev. 1986;9:253–263.PubMedCrossRefGoogle Scholar
  28. 28.
    Nornes H, Gripa N. Hemodynamic aspect of cerebral arteriovenous malformations. J Neurosurg. 1980;53:456–464.PubMedCrossRefGoogle Scholar
  29. 29.
    Sutherland G, King M, Drake C, et al. Platelet aggregation within cerebral arteriovenous malformations. J Neurosurg. 1988;68:198–204.PubMedCrossRefGoogle Scholar
  30. 30.
    Lasjaunias P, Terbrugge K, Rodesch G, et al. Vraies et fausses lésions veineuses cérébrales. Pseudoangiomes veineux et hémangiomes caverneux. Neurochirurgie. 1989;35:132–139.PubMedGoogle Scholar
  31. 31.
    Lasjaunias P, Burrows P, Planet C. Developmental venous anomalies (DVA): the so called venous angiomas. Neurosurg Rev. 1986;9:239–244.Google Scholar
  32. 32.
    Simard J, Garcia Bengochea F, Ballinger W, et al. Cavernous angioma. A review of 126 collected and 12 new clinical cases. Neurosurgery. 1986;18:162–172.PubMedCrossRefGoogle Scholar
  33. 33.
    Gomori J, Grossman R, Goldberg H, et al. Occult cerebral vascular malformations: high field MR imaging. Radiology. 1986;158:707–713.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1991

Authors and Affiliations

  • Ricardo Garcia-Monaco
  • Pierre Lasjaunias
  • Alex Berenstein

There are no affiliations available

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