neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2024-26-4-22-27neurosurgery-1604Research ArticleОРИГИНАЛЬНАЯ РАБОТАORIGINAL REPORTПредоперационная эмболизация с использованием системы Onyx при внутричерепных артериовенозных мальформациях: ранний одноцентровой опытPreoperative Onyx embolization of intracranial arteriovenous malformations: a single center early experienceElsherbiniM. M.ElsherbiniM. M.

Faculty of Medicine; Neurosurgery Department

Mansoura

Faculty of Medicine; Neurosurgery Department

Mansoura

m_elsherbiny@mans.edu.egNabeehM. M.NabeehM. M.

Faculty of Medicine; Neurosurgery Department

Mansoura

Faculty of Medicine; Neurosurgery Department

Mansoura

KassemM. A.KassemM. A.

Faculty of Medicine; Neurosurgery Department

Mansoura

Faculty of Medicine; Neurosurgery Department

Mansoura

Ezz EldinA.Ezz EldinA.

Faculty of Medicine; Neurosurgery Department

Mansoura

Faculty of Medicine; Neurosurgery Department

Mansoura

FaroukM.FaroukM.

Faculty of Medicine; Neurosurgery Department

Mansoura

Faculty of Medicine; Neurosurgery Department

Mansoura

Mansoura UniversityЕгипетMansoura UniversityEgypt2024230120252642227Copyright © Elsherbini M.M., Nabeeh M.M., Kassem M.A., Ezz Eldin A., Farouk M., 20252025Elsherbini M.M., Nabeeh M.M., Kassem M.A., Ezz Eldin A., Farouk M.Elsherbini M.M., Nabeeh M.M., Kassem M.A., Ezz Eldin A., Farouk M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1604   Введение

   Введение. Внутричерепные артериовенозные мальформации (АВМ) – угрожающие жизни, сложные для лечения патологии. Эндоваскулярная эмболизация внутричерепных АВМ была разработана в последние 2 десятилетия для cнижения степени тяжести мальформации, что предположительно приводит к более благоприятным исходам хирургического лечения.

   Пациенты и методы

   Пациенты и методы. Проведен ретроспективный анализ данных всех пациентов, которым был поставлен диагноз АВМ головного мозга в больницах университета Мансура в период с января 2017 г. по декабрь 2022 г. Изучены клинические и радиологические исходы, а также степень удовлетворенности хирурга и сложности в ходе процедуры.

   Результаты

   Результаты. Девять пациентов соответствовали критериям мультимодального лечения, в том числе 7 женщин. Средний возраст пациентов составил 36 лет. У всех пациентов сумма баллов по модифицированной шкале Рэнкина после эмболизации не изменилась. У 1 пациента после операции развился дополнительный неврологический дефицит в форме усиления двигательного дефицита, который вернулся на исходный уровень в период наблюдения. Средняя продолжительность наблюдения составила 103 дня.

   Заключение

   Заключение. Предоперационная эмболизация – безопасный метод, характеризующийся благоприятными исходами и выполнимой хирургической методикой, который следует использовать как часть мультимодального лечения тяжелых АВМ головного мозга.

   Introduction

   Introduction. Intracranial arteriovenous malformations (AVM) are considered one of the life-threatening pathologies which are challenging to manage. Endovascular embolization of intracranial AVMs is a line of management which developed over the past two decades to downgrade the lesion, a step is thought to make surgeries of more favorable outcome.

   Patients and methods

   Patients and methods. All patients who were diagnosed with brain AVM in Mansoura University Hospitals between January 2017 through December 2022 were retrospectively analyzed. Clinical and radiological outcome were studied, as well as surgeons’ satisfaction and procedural difficulties.

   Results

   Results. Nine patients met the criteria for multimodal management, seven of them were female, mean age of the group 36 years. Patients’ mRS remained unchanged after embolization sessions, one patient had an added neurological deficit in the form of increased severity of motor deficit after surgery, which was reversible during follow up period, mean follow up period is 103 days.

   Conclusion

   Conclusion. Pre-operative embolization is a safe tool to be added to the muti-modal treatment of high grades cerebral AVM’s with good outcome and feasible surgical technique.

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The authors declare that there are no conflicts of interest present.