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Arteriovenous malformations in elderly patients

K S Harbaugh1, R E Harbaugh

  • 1Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.

Neurosurgery
|October 1, 1994
PubMed
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Arteriovenous malformations (AVMs) in elderly patients often present with severe intracerebral hemorrhage. Surgical excision is a viable and safe management option, leading to good neurological recovery in older adults.

Area of Science:

  • Neurosurgery
  • Geriatric Medicine
  • Vascular Neurology

Background:

  • Arteriovenous malformations (AVMs) are complex vascular anomalies.
  • Management strategies for AVMs in elderly patients require careful consideration due to potential comorbidities.

Observation:

  • A series of 50 AVM patients included six individuals aged 65 or older.
  • All elderly patients presented with intracerebral hemorrhage; one developed seizures prior.
  • Diagnosis was confirmed preoperatively via angiography in most cases, with two diagnosed intraoperatively.

Findings:

  • Elderly patients with AVMs experienced significant neurological events, including multiple hemorrhages.
  • Surgical excision of AVMs was well-tolerated, even with concurrent medical illnesses.

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  • All surgically treated elderly patients achieved sufficient neurological recovery to return to their communities.

    • Implications:

    • AVMs in the elderly are not benign and necessitate active management.
    • Surgical intervention should be considered a primary management option for elderly patients with AVMs.
    • Early diagnosis and treatment can lead to favorable outcomes in this demographic.