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丘脑和基底切动静脉畸形(AVMs)过去多认为不宜直接手术。但近年随显微神经外科的发展及一些辅助手段如术前栓塞,立体定向引导、电生理学监测、术中超声、术中血管造影及诱导性低血压的应用,手术范围得以扩大。作者介绍了65例幕上深部AVMs临床和手术治疗的经验。 本组65例中男36例(55％),女29例(45％);年龄6～61岁;39例位于丘脑(60％)18例位于基底节(28％),8例位于丘脑及基底节(12％)。65例中51例为AVMs(78％),14例为海绵状血管瘤(22％),其中有10例伴血管异常。畸形大小1～7.5cm,平均
Thalamus and basilar artery venous malformations (AVMs) in the past, more than that should not be direct surgery. But in recent years, with the development of neurosurgery and some auxiliary means such as preoperative embolization, stereotactic guidance, electrophysiological monitoring, intraoperative ultrasound, intraoperative angiography and induced hypotension, the scope of the operation can be expanded. The authors present the clinical and surgical experience of 65 supratentorial deep AVMs. Thirty-six patients (55%) and 29 women (45%) were 65 patients (aged 6-61 years). Thirty-nine patients in the thalamus (60%) were located in the basal ganglia (28%) and eight in the thalamus Basal ganglia (12%). Of the 65 cases, 51 were AVMs (78%) and 14 were cavernous hemangiomas (22%), of which 10 had vascular abnormalities. Deformity size 1 ~ 7.5cm, average