Clinical analysis of microsurgical treatment for cerebellar vascular malformation
Gong Songfeng
Jiang Taipeng
He Jiabin
Ding Jianjun
Wang Xinjun
Li Weiping
Gao Yongzhong
Abstract：Objective To investigate the clinical characteristics and surgical methods and outcomes of cerebellar vascular malformation. Methods Clinical data of 72 patients with cerebellar vascular malformation were analyzed retrospectively, who underwent surgery via retrosigmoid approach or posterior median suboccipital approach. Results Total resection was achieved in 72 patients. Postoperative pathology results were arteriovenous malformation in 67 patients, cavernous malformation in 3 and venous malformation in 2. Postoperative GOS results were as follows: 5 in 64 patients, 4 in 4, 3 in 1, 2 in 1 and 1 in 2. All the patients were followed up for 4 months to 13 years, 64 patients recovered well, 4 were slight disabled, 1 severely disabled, 1 vegetable and 2 died. No relapse. The postoperative GOS of AVM patients with preoperative GCS ≥8 was higher than that of patients with GCS < 8 (P < 0.05). Conclusions Cerebellar vascular malformation should be microsurgically resected as early as possible. With proper surgical approach and appropriate surgical technique, the surgery for cerebellar vascular malformation can obtain good outcome. The AVM patients with preoperative GCS≥8 have better outcome, and the patients with GCS < 8 have poorer outcome.
Keywords：central nervous system vascular malformationcerebellumvascular surgical procedures
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 252-254 )