Malformações arteriovenosas do lobo parietal: revisão clínico-cirúrgica de 17 casos

Ferreira, Nelson Pires; Raupp, Sérgio; Dahne, João A. M.

doi:10.1590/S0004-282X1968000200006

Resumo

The incidence, clinical occurences, diagnosis and surgical procedures registered in 17 cases of arteriovenous malformations of the parietal lobe are reported. The authors conclude: The arteriovenous anomalies located in the parietal lobe were mostly (65%) nourished by more than one arterial group. The venous cortical drainage in these malformations was more frequent (59%) than the deep one (12%). The deep vein drainage makes the prognostic worse. There was a large number of failures with the patients bearing intracerebral hematoma. Angiography during operation proved to be very usefull and must be inclused in the routine of the surgical treatment of arteriovenous malformations.

Malformações arteriovenosas do lobo parietal. Revisão clínico-cirúrgica de 17 casos

Arteriovenous malformations of the parietal lobe: clinical and surgical revision of 17 cases

Nelson Pires Ferreira^I; Sérgio Raupp^II; João A. M. Dahne^III

^INeurocirurgião; Instituto de Neurocirurgia de Porto Alegre (Prof. Elyseu Paglioli)

^IINeuroradiologista; Instituto de Neurocirurgia de Porto Alegre (Prof. Elyseu Paglioli)

^IIIDiretor-assistente, neurocirurgião; Instituto de Neurocirurgia de Porto Alegre (Prof. Elyseu Paglioli)

SUMMARY

The incidence, clinical occurences, diagnosis and surgical procedures registered in 17 cases of arteriovenous malformations of the parietal lobe are reported. The authors conclude: The arteriovenous anomalies located in the parietal lobe were mostly (65%) nourished by more than one arterial group. The venous cortical drainage in these malformations was more frequent (59%) than the deep one (12%). The deep vein drainage makes the prognostic worse. There was a large number of failures with the patients bearing intracerebral hematoma. Angiography during operation proved to be very usefull and must be inclused in the routine of the surgical treatment of arteriovenous malformations.

Texto completo disponível apenas em PDF.

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Instituto de Neurocirurgia, Hospital São Francisco Porto Alegre, Rio Grande do Sul Brasil.

Relatório apresentado ao XII Congresso Latinoamericano de Neurocirurgia (Lima Peru), outubro de 1967.

1. ASENJO, A.; UIBERALL, E. & FIERRO, J. Affecciones vasculares quirúrgicas del encéfalo. Ed. Zig-Zag (Santiago, Chile), 1957.
2. BRION, S. Anatomie pathologique et pathogénie des angiomes du systčme nerveux central. Gaz. Med. Fr. 69:2005-2021, 1962.
3. BROCK, S. & DYKE, C. G. Venous and arteriovenous angiomas of the brain. Bull. Neurol. Inst. New York 2:247-293, 1932.
4. DANDY, E. W. Arteriovenous aneurysma of the brain. Arch. Surg. 17: 190-243, 1928.
5. GUILLAUME, J.; DJINDJIAN, R. & PANSINI, A. A propôs de 80 cas d'angiomes hémisphériques. Gaz. Med. (Paris) 66:1211-1214, 1959.
6. HOUDARD, R. & BESNERAIS, Y. Les Anévrysmes Artério-veineux des Hemispheres Cérébraux. Masson et Cie., Paris, 1963.
7. LOOP, W. J. & FOLTZ, E. L. Applications of angiography during intracranial operation. Seventh Symposium Neuroradiologicum (New York. Acta Radiol. 5:363-367, 1966.
8. LUESSENHOP, A. J.; KACHMANN, R.; SHELVIN, W. & FERRERO, A. A. Clinical evaluation of artificial embolization in the management of large cerebral arteriorvenous malformations. J. Neurosurg. 23:400-417, 1965.
9. MATTOS PIMENTA, A. & SILVA, C. P. Malformaçőes arteriovenosas congęnitas do encéfalo. Arq. Neuro-Psiquiat. (Săo Paulo) 12:123-152, 1954.
10. MACKISSOCK, W. Subaracnoid haemorrhage. Ann. Royal Coll. Surg. Engl. 19:361-370, 1956.
11. NORAN, H. H. Intracranial vascular tumors and malformations. Arch. Path. 39:393-416, 1945.
12. NORLEN, G. Arteriovenous aneurysms of the brain. J. Neurosurg. 6:475-494, 1949.
13. OLIVERCRONA, H. & RIIVES, J. Arteriovenous aneurysms of the brain: their diagnosis and treatment. Arch. Neurol. Psychiat. 59:567-602, 1948.
14. PATERSON, J. H. & MACKISSOCK, W. A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment: a report of 110 cases. Brain 79:233-266, 1956.
15. POOL, J. L. Treatment of arteriovenous malformations of the cerebral hemyspheres. J. Neurosurg. 19:136-141, 1962.
16. POOL, J. L. & POTTS, D. G. Aneurysms and Anteriovenous Anomalies of the Brain. Ed. Harper & Row, New York, 1965.
17. RUGGIERO, G. L'Encéphalographie Fractionée. Masson et Cie., Paris, 1957.
IS. RUSSEL, D. S.; RUBINSTEIN, L. J. & LUMSDEN, C. E. Pathology of Tumors of the Nervous System. Edward Arnold Publishers, London, 1963.
19. TONNIS, W.; SCHIEFER, W. & WALTER, W. Signs and symptoms of supratentorial arteriovenous aneurysms. J. Neurosurg. 15:471-479, 1958.
20. ZÜLCH, K. J. Brain Tumors. Springer Publishing Co., New York, Second ed. 1965.

Datas de Publicação

Publicação nesta coleção
14 Maio 2013
Data do Fascículo
Jun 1968

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ASENJO, A.; UIBERALL, E. & FIERRO, J. Affecciones vasculares quirúrgicas del encéfalo. Ed. Zig-Zag (Santiago, Chile), 1957.

[2] 2. BRION, S. Anatomie pathologique et pathogénie des angiomes du systčme nerveux central. Gaz. Med. Fr. 69:2005-2021, 1962.

[3] 3. BROCK, S. & DYKE, C. G. Venous and arteriovenous angiomas of the brain. Bull. Neurol. Inst. New York 2:247-293, 1932.

[4] 4. DANDY, E. W. Arteriovenous aneurysma of the brain. Arch. Surg. 17: 190-243, 1928.

[5] 5. GUILLAUME, J.; DJINDJIAN, R. & PANSINI, A. A propôs de 80 cas d'angiomes hémisphériques. Gaz. Med. (Paris) 66:1211-1214, 1959.

[6] 6. HOUDARD, R. & BESNERAIS, Y. Les Anévrysmes Artério-veineux des Hemispheres Cérébraux. Masson et Cie., Paris, 1963.

[7] 7. LOOP, W. J. & FOLTZ, E. L. Applications of angiography during intracranial operation. Seventh Symposium Neuroradiologicum (New York. Acta Radiol. 5:363-367, 1966.

[8] 8. LUESSENHOP, A. J.; KACHMANN, R.; SHELVIN, W. & FERRERO, A. A. Clinical evaluation of artificial embolization in the management of large cerebral arteriorvenous malformations. J. Neurosurg. 23:400-417, 1965.

[9] 9. MATTOS PIMENTA, A. & SILVA, C. P. Malformaçőes arteriovenosas congęnitas do encéfalo. Arq. Neuro-Psiquiat. (Săo Paulo) 12:123-152, 1954.

[10] 10. MACKISSOCK, W. Subaracnoid haemorrhage. Ann. Royal Coll. Surg. Engl. 19:361-370, 1956.

[11] 11. NORAN, H. H. Intracranial vascular tumors and malformations. Arch. Path. 39:393-416, 1945.

[12] 12. NORLEN, G. Arteriovenous aneurysms of the brain. J. Neurosurg. 6:475-494, 1949.

[13] 13. OLIVERCRONA, H. & RIIVES, J. Arteriovenous aneurysms of the brain: their diagnosis and treatment. Arch. Neurol. Psychiat. 59:567-602, 1948.

[14] 14. PATERSON, J. H. & MACKISSOCK, W. A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment: a report of 110 cases. Brain 79:233-266, 1956.

[15] 15. POOL, J. L. Treatment of arteriovenous malformations of the cerebral hemyspheres. J. Neurosurg. 19:136-141, 1962.

[16] 16. POOL, J. L. & POTTS, D. G. Aneurysms and Anteriovenous Anomalies of the Brain. Ed. Harper & Row, New York, 1965.

[17] 17. RUGGIERO, G. L'Encéphalographie Fractionée. Masson et Cie., Paris, 1957.

[18] IS. RUSSEL, D. S.; RUBINSTEIN, L. J. & LUMSDEN, C. E. Pathology of Tumors of the Nervous System. Edward Arnold Publishers, London, 1963.

[19] 19. TONNIS, W.; SCHIEFER, W. & WALTER, W. Signs and symptoms of supratentorial arteriovenous aneurysms. J. Neurosurg. 15:471-479, 1958.

[20] 20. ZÜLCH, K. J. Brain Tumors. Springer Publishing Co., New York, Second ed. 1965.