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作者总结了18例儿童19处小脑动静脉畸形(AVM)的影像学、临床和随访结果等资料,对AVM的早期表现和高死亡率原因进行了探讨。男6例,女12例,平均年龄10岁8个月(11月～15岁6个月)。17例(94％)以颅内出血起病,另1例是颞叶癫痫。脑出血采用蛛网膜下腔出血Botterell分级判断病情,Ⅰ级:清醒伴或不伴脑膜刺激征;Ⅱ级:在Ⅰ级基础上伴有轻微神经症状;Ⅲ级:嗜睡伴明显偏身神经损害;Ⅳ级:昏迷、去脑强直伴严重神经损害;Ⅴ级:深昏迷、濒临死亡。该组轻型(Ⅰ级)4例,中型
The authors summarize the imaging, clinical and follow-up results of 19 cases of cerebellar AVM in 18 children and discuss the causes of early manifestation and high mortality of AVM. 6 males and 12 females, the average age of 10 years and 8 months (November to 15 years 6 months). Seventeen patients (94%) developed intracranial hemorrhage and the other was temporal lobe epilepsy. Intracerebral hemorrhage with subarachnoid hemorrhage Botterell grading to determine the disease, Ⅰ grade: awake with or without meningeal irritation; Ⅱ grade: grade Ⅰ with mild neurological symptoms; Ⅲ grade: lethargy with obvious nerve damage; Ⅳ level: coma, to severe brain injury with severe neurological damage; Ⅴ level: deep coma, dying. The group of light (grade Ⅰ) 4 cases, medium