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本文对近30年文献报道的150例胼胝体动静脉畸形(AVM)进行了总结,临床表现主要以蛛网膜下腔出血发作为其特征,而癫痫及局灶性神经系统损害较少见。胼胝体AvM可分为前、 中、后部三类,其脑血管造影表现及几种常用手术入路亦在本文中进行了详细地描述。胼胝体AVM的手术治疗效果好,手术后遗症主要为AVM残留和脑积水。
In this paper, 150 cases of corpus callosum arteriovenous malformations (AVM) reported in the literature were summarized in the past 30 years. The clinical manifestations were mainly characterized by subarachnoid hemorrhage, while epilepsy and focal nervous system damage were rare. The corpus callosum AvM can be divided into three categories: anterior, middle and posterior, and its cerebral angiography and several commonly used surgical approaches are also described in detail in this article. The operative treatment of the corpus callosum AVM is good, the sequelae of surgery mainly AVM residual and hydrocephalus.