Conservative Management of Inoperable Arteriovenous Malformations

  • G. E. Perret


It is agreed by most authors dealing with Arteriovenous Malformations (AVM) that most bleeding lesions with intraparenchymal hematoma and recurring hemorrhages producing increasing neurologic deficit should be treated surgically (1, 2). However, it is obviously not advisable to operate if the lesion cannot be completely excised, and if the patient’s condition is worsened by the procedure (3, 4, 5). The operative risk is definitely increased by the location and extent of the malformation. The age of the patient, his general condition, the presence of other diseases, and certain social factors should also be considered in evaluating the operative risk and a possible postoperative neurologic deficit (1, 6). A relatively asymptomatic lesion may make a surgical approach inadvisable when considering the possible risks involved.


Subarachnoid Hemorrhage Intracranial Aneurysm Arteriovenous Malformation Obstructive Hydrocephalus Convulsive Seizure 
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© Springer-Verlag Berlin Heidelberg 1975

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  • G. E. Perret

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