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Артерио-венозные мальформации (АВМ): эпилептиформный тип течения и хирургическое лечение

Артерио-венозные мальформации (АВМ): эпилептиформный тип течения и хирургическое лечение

Abstract

Рассмотрены 133 случая заболеваний АВМ сосудов головного мозга. Внутримозговые кровоизлияния имели место в 76 (57%) больных, эписиндром у 52 (39%), сочетание их в 5 (4%). Проанализированы последствия хирургического лечения 57 больных с АВМ, клинически протекающих с эписиндромом. Полное исчезновение приступов отмечено у 28 (49%) больных, уменьшение количества и интенсивности приступов у 20 (35%), отсутствие клинической динамики у 9 (16%). Также рассмотрены особенности предоперационной подготовки, анестезиологического обеспечения хирургических вмешательств, послеоперационное лечение больных, включая противосудорожную терапию.

133 cases of AVM were investigated. We observed the intracranial haemorrage at 76 patients (57%), episyndrome at 52 patients (39%), episyndrome and intracranial haemorrages at 5 patients (4%). The results of surgical treatment of 57 patients with AVM with epileptic type of clinical presentation were analyzed. 28 patients (49%) are seizure-free, 20 patients (35%) had reduction of seizure frequency, 9 patients (16%) without any changes. Also this article presents facilities of preoperative procedures, anesthesiological management and postoperative treatment including antiepileptical drug treatment.

Keywords

АРТЕРИО-ВЕНОЗНАЯ МАЛЬФОРМАЦИЯ, ЭПИСИНДРОМ, ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ, ЭНДОВАСКУЛЯРНЫЕ ОПЕРАЦИИ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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