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Journal of Korean Neurosurgical Society 1992;21(5): 546-552.
Problems in Managements of Cerebral Arteriovenous Malformations.
Byung Yearn Choi, Eul Soo Jung, Soo Ho Cho, Sun Yong Kim, Bock Whan Park
1Department of Neurosurgery, School of Medicine, Yeungnam University, Daegu, Korea.
2Department of Radiology, School of Medicine, Yeungnam University, Daegu, Korea.
ABSTRACT
The authors report the problems of treatment in 37 consecutive cerebralarteriovenous malformations(AVM's) who underwent embolization, operation, combined treatment, or conservative care. The preoperative embolization is an integral part of the multidisciplinary treatment protocol for patients with cerebral AVM's. Life threatening intracerebral hematoma caused by bleeding from AVM's will be managed effectively with stereotactic Urokinase irrigation for urgently reducing the increased intracranial pressure and getting a time to change emergent to elective surgery. We also discussed the problems along the management of cerebral AMV's.
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