TY - T1的硬脑膜动静脉瘘管的临床过程:10年以人群为基础的队列研究的硬脑膜动静脉漏管在苏格兰(P1.116) JF -神经学乔-神经学六世- 86 - 16补充SP - P1.116盟迪娜甘杜尔AU -亚当小林盟Rustam Al-Shahi萨尔曼Y1 - 2016/04/05 UR - http://n.neurology首页.org/content/86/16_Supplement/P1.116.abstract N2 -目的:确定检出率的硬脑膜动静脉瘘管(dAVF)在苏格兰人口调查协会表现模式和结果,和描述的治疗及其结果。背景:dAVF非常罕见,收购之间的直接连接或附近的硬脑膜中动脉和静脉。以人群为基础的研究dAVFs稀缺和长期结果不是众所周知的。引流静脉模式,反映在博登和Cognard评分系统,用于指导治疗决策。方法:以人群为基础的,未来的《盗梦空间》的队列研究57苏格兰16岁以上居民首次被诊断为有dAVF在1999 - 2003或2006 - 2010和随访预期中值为7.8年,其中包括时间治疗后。结果:原油检出率为0.14 (95 [percnt]可信区间(CI) 0.10到0.18)每年每100000人。我们发现中风之间的关联表示导致dAVF诊断和leptomeningeal引流静脉(或4.2,95 [percnt]可信区间1.3 - 13.8),和静脉静脉曲张或袋(或12.7,95 [percnt]可信区间3.1 - 52.2),但与中风相关波登成绩没有明显表示(p = 0.06)。29 (51 [percnt])患者接受血管内栓塞(s)、5 (9 [percnt])患者接受手术切除,8 (14 [percnt])收到这些疗法的结合,保守和26 (percnt)管理。61年的栓塞,完整实现消灭在25 [percnt]和15外科切除术64 [percnt] dAVF完全消失。在后续治疗之前,只有一个死亡由于dAVF发生(年度风险0.68 [percnt])。 During follow-up after first treatment, one haemorrhage, which was fatal, and two focal neurological deficits caused by dAVF occurred (annual risk 1.0[percnt]). Conclusions: Venous anatomy is associated with dAVF initial presentation of stroke. Adverse events during untreated follow-up are rare, treatment is occasionally ‘curative’, and adverse events after treatment are infrequent.Disclosure: Dr. Ghandour has nothing to disclose. Dr. Kobayashi has nothing to disclose. Dr. Al-Shahi Salman has nothing to disclose.Saturday, April 16 2016, 8:30 am-7:00 pm ER -
Baidu
map