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EPILEPSY ASSOCIATED WITH CEREBRAL ARTERIOVENOUS-MALFORMATIONS - A MULTIVARIATE-ANALYSIS OF ANGIOARCHITECTURAL CHARACTERISTICS
EPILEPSY ASSOCIATED WITH CEREBRAL ARTERIOVENOUS-MALFORMATIONS - A MULTIVARIATE-ANALYSIS OF ANGIOARCHITECTURAL CHARACTERISTICS AMERICAN JOURNAL OF NEURORADIOLOGY Turjman, F., Massoud, T. F., Sayre, J. W., Vinuela, F., Guglielmi, G., Duckwiler, G. 1995; 16 (2): 345-350Abstract
To identify the morphological vascular characteristics of cerebral arteriovenous malformations (AVMs) that predict a clinical presentation of epilepsy.Fifteen angioarchitectural characteristics of brain AVMs were selected for assessment in 100 consecutive patients referred to our institution for endovascular treatment. In this population, 47% of the AVMs were diagnosed as a consequence of epilepsy. The angioarchitectural characteristics and population demographics were statistically analyzed by means of multivariate analysis.The following six parameters were found to be the most predictive of epilepsy: cortical location of the AVM, feeding by the middle cerebral artery, cortical location of the feeder, absence of aneurysms, presence of varix/varices in the venous drainage, and association of varix and absence of intranidal aneurysms. Three factors were not among the most predictive factors of epilepsy but were significantly associated with the onset of seizures: AVM feeding by the external carotid artery, a temporal cortical location, and a parietal cortical location.Detailed analysis of the angioarchitecture of intracranial AVMs has helped us identify features that strongly correlate with epilepsy. This may aid in future understanding of the physiopathologic mechanisms in epilepsy associated with AVMs, and in identifying goals of treatment for epileptogenic AVMs.
View details for Web of Science ID A1995QG57400019
View details for PubMedID 7726084