Kết quả điều trị dị dạng động tĩnh mạch não bằng phối hợp nút mạch và phẫu thuật tại Bệnh viện Đại học Y Hà Nội

To evaluate the results of treatment of brain arteriovenous malformations by combining embolization and surgery at Hanoi Medical University Hospital Materials and methods: 19 patients diagnosed with brain arteriovenous malformations were treated with a combination of two methods of embolization and surgery at Hanoi Medical University Hospital from 7/2018 to 1/2022 Results: Mean age of patients: 31.76±12,206 with the most common age being 31-50 (47.4%). Bleeding due to rupture of brain arteriovenous malformations accounted for 73.7%. Clinical symptoms: headache 73.7%, epilepsy 26.3%, vomiting 42.1%, hemiplegia 31.6%, pupil dilation on one side accounted for 10.5%. Evaluation of postoperative results according to the modified Rankin classification: Grade 0 accounted for 15/19, grade 1 accounted for 2/19, grade 2 accounted for 2/19. There were no patients grade 3 or higher. Remove all malformed mass 84.2%, take part of malformation 5.3%, not remove malformation 10.5% Conclusion: In the treatment of cerebral arteriovenous malformation, the combination of embolization and surgery is increasingly developed and accounts for a high rate. The purpose of preoperative embolization is to occlude deep, hard-to-reach arteries, limit intraoperative blood loss and reduce volume of arteriovenous malformations.