Arteriovenous malformations of the temporal lobe: clinical and angiographic characteristics

  • F. Turjman
  • T. F. Massoud
  • G. Duckwiler
  • J. Sayre
  • G. Guglielmi
  • F. Viñuela
Conference paper

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.

key words

Arteriovenous malformation Endovascular therapy Angioarchitecture Location 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • F. Turjman
    • 1
  • T. F. Massoud
    • 2
  • G. Duckwiler
    • 2
  • J. Sayre
    • 2
  • G. Guglielmi
  • F. Viñuela
    • 2
  1. 1.Department of RadiologyHôpital NeurologiqueLyonFrance
  2. 2.UCLA Medical Center Endovascular TherapyLos AngelesUSA

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