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Abstract

Epilepsy associated with cerebral arteriovenous malformations: a multivariate analysis of angioarchitectural characteristics.

F Turjman, T F Massoud, J W Sayre, F Viñuela, G Guglielmi and G Duckwiler
American Journal of Neuroradiology February 1995, 16 (2) 345-350;
F Turjman
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T F Massoud
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J W Sayre
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F Viñuela
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G Guglielmi
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G Duckwiler
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Abstract

PURPOSE To identify the morphological vascular characteristics of cerebral arteriovenous malformations (AVMs) that predict a clinical presentation of epilepsy.

METHOD Fifteen angioarchitectural characteristics of brain AVMs were selected for assessment in 100 consecutive patients referred to our institution for endovascular treatment. In this population, 47% of the AVMs were diagnosed as a consequence of epilepsy. The angioarchitectural characteristics and population demographics were statistically analyzed by means of multivariate analysis.

RESULTS The following six parameters were found to be the most predictive of epilepsy: cortical location of the AVM, feeding by the middle cerebral artery, cortical location of the feeder, absence of aneurysms, presence of varix/varices in the venous drainage, and association of varix and absence of intranidal aneurysms. Three factors were not among the most predictive factors of epilepsy but were significantly associated with the onset of seizures: AVM feeding by the external carotid artery, a temporal cortical location, and a parietal cortical location.

CONCLUSION Detailed analysis of the angioarchitecture of intracranial AVMs has helped us identify features that strongly correlate with epilepsy. This may aid in future understanding of the physiopathologic mechanisms in epilepsy associated with AVMs, and in identifying goals of treatment for epileptogenic AVMs.

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American Journal of Neuroradiology
Vol. 16, Issue 2
1 Feb 1995
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Epilepsy associated with cerebral arteriovenous malformations: a multivariate analysis of angioarchitectural characteristics.
F Turjman, T F Massoud, J W Sayre, F Viñuela, G Guglielmi, G Duckwiler
American Journal of Neuroradiology Feb 1995, 16 (2) 345-350;

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Epilepsy associated with cerebral arteriovenous malformations: a multivariate analysis of angioarchitectural characteristics.
F Turjman, T F Massoud, J W Sayre, F Viñuela, G Guglielmi, G Duckwiler
American Journal of Neuroradiology Feb 1995, 16 (2) 345-350;
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