全摘出治療後に再発した脳動静脈奇形

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  • Recurrence of Cerebral Arteriovenous Malformation after Total Extirpation

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We present 2 cases of arteriovenous malformation (AVM) in children that recurred 5 and 16 years, respectively, after initial total extirpation confirmed by cerebral angiography. In the first case, a parasplenial AVM that presented initially as a hemorrhage in a 5-year-old patient was completely resolved. Sixteen years later, it reappeared posterior to its initial location in the nidus and then ruptured. The second case also presented initially with AVM-related hemorrhage. Five years following extirpation of the diffuse paracallosal AVM in the right frontal lobe, the defect reappeared surrounding the location of the initial lesion and continued to grow.<br> These cases demonstrate that even in cases where cerebral angiography and operative findings confirm total extirpation of an AVM, the AVM may recur after 10 years or longer. Thus, long-term follow-up is recommended in such cases, especially for children.<br>

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  • 脳卒中の外科

    脳卒中の外科 32 (6), 443-447, 2004

    一般社団法人 日本脳卒中の外科学会

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