The relationship between morphometric characteristics of venous drainages of arteriovenous malformations of the brain and types of clinical course
https://doi.org/10.18705/2311-4495-2022-9-3-24-34
Abstract
Background. Arteriovenous malformations of the brain are a rare vascular pathology. Many studies focus on the features of venous drainage of arteriovenous malformations. The angioarchitectural and hemodynamic features of the venous component of arteriovenous malformations can influence on the patient management.
Objective. To evaluate the relationship between the features of venous drainage of arteriovenous malformations of the brain and the types of clinical course. Design and methods. Survey included 61 adult patients of the neurosurgical department № 3 of the Polenov RNSI with arteriovenous malformations of the brain of supratentorial localization. Demographic and morphometric characteristics, as well as features of venous drainage of arteriovenous malformations, were assessed. Groups of patients were distinguished according to the type of the course of the disease.
Results. The dependence of the hemorrhagic type of course on such factors as drainage exclusively into the deep vein system, as well as the presence of a combination of macrofistula with venous lacunae. The epileptic type was more typical for patients with superficial localization of the arteriovenous malformation. The torpid type of course had no distinctive features.
Conclusion. Drainage exclusively into the deep vein system and the presence of a combination of macrofistula and venous lacunae is characteristic of the hemorrhagic type of course. The epileptic type of course was characterized by superficial localization of the malformation.
Keywords
arteriovenous malformation,
epileptic type,
hemorrhagic type,
torpid type,
types of arteriovenous malformation course,
venous drainage
Supporting agencies: The work was carried out within the framework of the state task «Development of a personalized approach to endovascular treatment of cerebral arteriovenous malformations based on the study of molecular mechanisms of neoangiogenesis», EGISU registration number 121031100282-3
About the Authors
N. A. Mamonov
Polenov Russian Research Institute of Neurosurgery, branch of Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Nikita A. Mamonov - neurosurgeon, Neurosurgical Department № 3, Researcher of the Laboratory for Surgery of the Vessels of the Cerebral and Spinal Cord.
Akkuratova str., 2, Saint Petersburg, 197341
Competing Interests:
The authors declare no conflict of interest
L. V. Rozhchenko
Polenov Russian Research Institute of Neurosurgery, branch of Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Larisa V. Rozhchenko - MD, Neurosurgeon, Neurosurgical Department № 3, Chef of Laboratory for Surgery of the Vessels of the Cerebral and Spinal Cord.
Akkuratova str., 2, Saint Petersburg, 197341
Competing Interests:
The authors declare no conflict of interest
S. A. Goroschenko
Polenov Russian Research Institute of Neurosurgery, branch of Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Sergey A. Goroshchenko - MD, neurosurgeon, Neurosurgical Department № 3, Senior Researcher of the Research Laboratory for Surgery of the Vessels of the Cerebral and Spinal Cord.
Akkuratova str., 2, Saint Petersburg, 197341
Competing Interests:
The authors declare no conflict of interest
K. A. Samochernykh
Polenov Russian Research Institute of Neurosurgery, branch of Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Konstantin A. Samochernykh - D.M.Sc., Director, Polenov Russian Research Institute of Neurosurgery, branch of Almazov National Medical Research Centre.
Akkuratova str., 2, Saint Petersburg, 197341
Competing Interests:
The authors declare no conflict of interest
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For citations:
Mamonov N.A., Rozhchenko L.V., Goroschenko S.A., Samochernykh K.A. The relationship between morphometric characteristics of venous drainages of arteriovenous malformations of the brain and types of clinical course. Translational Medicine. 2022;9(3):24-34. (In Russ.) https://doi.org/10.18705/2311-4495-2022-9-3-24-34
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