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Microsurgical Treatment of Brain Arteriovenous Malformations in Sub-Saharan Africa, About a Series of 14 Patients Treated in Senegal

em more challenging because surgery remains the only option. The aim of this report is to demonstrate the results of microsurgical treatment of b AVMS in these less than ideal conditions. Methods: We reviewed retrospectively 14 consecutive cases of b AVMs operated on in Senegal. Patient characteristics, radiological data and outcomes have been analysed. Results: There were 29 cases of bAVMs that were received in our department in the 3 year period, and among those, there were 14 cases for which operations were performed. The patient ages ranged from 7 to 64 years (mean age: 37.6 years). Ten patients were male and 4 were female. Twelve patients presented with ruptured AVM. The mean AVM size was 3.6 cm. According to Spetzler-Martin grade, 5 AVM were I, 6 were II, 2 were III and one was grade IV. No intranidal aneurysm was found. Two patients died preoperatively. According to mRS, for the 12 patients available to follow-up, 9 patients had good outcome (mRS 0 to 2) and 3 patients had poor outcome (mRS 3 and 4). Conclusion: In sub-Saharan Africa this pathology is even more difficult to manage due to under-equipment conditions but judicious selection of patients and the surgical strategy are secrets for good results.

Auteur(s) : Mbaye Thioub*, Maguette Mbaye, Alioune Badar Thiam, El Hassimi Cisse, Cheikh Sy, Ndaraw Ndoye, Momar Codé Ba and Seydou Boubakar Badiane
Année de publication : 2018
Revue : Tech Neurosurg Neurol
Type : Article
Mise en ligne par : NDOYE Ndaraw