The Arteriovenous Malformation Rupture on Posterior Cranial Fossa:Management and Treatment of 9 Children Patients at Morozovskaya Children's Hospital

Arteriovenous Malformation Rupture on Posterior Cranial Fossa:Management

Authors

  • Zokhidov Zokirjon Utkurovich State Medical Institution «Morozovskaya DGKB DZM», post graduate student of the Department of Nervous Diseases and Neurosurgery of the Medical Institute, FSAOU IN RUDN
  • Daniel Encarnacion-Santos RUDN University
  • Gennady Chmutin Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia 2Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia
  • Ayisi Gordon-Gullanyi Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia 2Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia
  • Egor Chmutin Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia 2Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia
  • Matvey Igorevich Livshits Department of Neurology, Neurosurgery and Medical Genetics of the Pediatric Faculty of the N. I. Pirovog Russian National Medical University
  • Alexander Vyacheslavovich Levov Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia
  • Madina Golibovna Berdieva Peoples’ of Friendship University of Russia (RUDN University), Moscow, Russia
  • Elizaveta Andreevna Shlepotina Peoples’ of Friendship University of Russia (RUDN University), Moscow, Russia
  • B. Nurmyradov Dovran Peoples' of Friendship University of Russia.
  • Sherbek Musakulovich Mamatkulov Peoples’ of Friendship University of Russia (RUDN University), Moscow, Russia

DOI:

https://doi.org/10.32734/aanhsj.v7i02.22492

Keywords:

Arteriovenous malformation, microsurgical approach of AVM, evacuation on intracranial hematoma, and, hemorrhagic stroke.

Abstract

Abstract Background

Posterior cranial fossa (PCF) arteriovenous malformations (AVM) in children are the least studied among vascular malformations. Mortality rates after hemorrhages from ruptured PCF AVM reach the range of up to 21-67%. The aim of this Evaluation of the treatment tactics of the arteriovenous malformation rupture in an area of the posterior cranial fossa in children.

 

 

Materials and Methods

 The study includes 9 children admitted to the Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia, with PCF, AVM intracranial hemorrhage (ICH) during the period of 2015-2022. The age varies from 7 to 17 years old. All patients underwent clinical and neurological examination, CT, and MRI of the brain, as well as cerebral angiography. The volume of intracranial hematoma ranges from 5 to 41.1 mL. To decide on the further extent of surgical intervention, GCS, Greab, PedNIHSS, and H-H scales were used.

 

Results

 The extent of surgical intervention was based on the time of the admission to the hospital, the severity of the patients’ condition, the size and location of the ICH, and its relationship to the med-stem structures. Type of operation: microsurgical intervention in 3 cases (33.3 %), endovascular embolization in 2 cases (22.2 %), combined treatment in 4 cases (44.5 %). Surgery was performed in the acute period in all patients.

  Conclusion

 Modern microsurgical and endovascular PCF AVM treatment methods allow for positive results in complete neurological symptom regression form. This considerably decreases disability rates and increases patients’ quality of life.

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Author Biographies

Zokhidov Zokirjon Utkurovich, State Medical Institution «Morozovskaya DGKB DZM», post graduate student of the Department of Nervous Diseases and Neurosurgery of the Medical Institute, FSAOU IN RUDN

State Medical Institution «Morozovskaya DGKB DZM», post graduate student of the Department of Nervous Diseases and Neurosurgery of the Medical Institute, FSAOU IN RUDN

Gennady Chmutin, Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia 2Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia

Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia

2Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia

Ayisi Gordon-Gullanyi, Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia 2Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia

Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia

2Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia

Egor Chmutin, Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia 2Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia

Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia

Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia

Matvey Igorevich Livshits , Department of Neurology, Neurosurgery and Medical Genetics of the Pediatric Faculty of the N. I. Pirovog Russian National Medical University

Department of Neurology, Neurosurgery and Medical Genetics of the Pediatric Faculty of the N. I. Pirovog Russian National Medical University

Alexander Vyacheslavovich Levov , Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia

Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia

Madina Golibovna Berdieva , Peoples’ of Friendship University of Russia (RUDN University), Moscow, Russia

Peoples’ of Friendship University of Russia (RUDN University), Moscow, Russia

Elizaveta Andreevna Shlepotina, Peoples’ of Friendship University of Russia (RUDN University), Moscow, Russia

Peoples’ of Friendship University of Russia (RUDN University), Moscow, Russia

B. Nurmyradov Dovran, Peoples' of Friendship University of Russia.

Peoples' of Friendship University of Russia.

Sherbek Musakulovich Mamatkulov , Peoples’ of Friendship University of Russia (RUDN University), Moscow, Russia

Peoples’ of Friendship University of Russia (RUDN University), Moscow, Russia

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Published

2025-09-02

How to Cite

Zokirjon Utkurovich, Z., Encarnacion-Santos, D., Chmutin, G., Gordon-Gullanyi, A. ., Chmutin, E., Livshits , M. I., Levov , A. V., Berdieva , M. G. ., Shlepotina, E. A., Dovran, . B. N., & Mamatkulov , S. M. (2025). The Arteriovenous Malformation Rupture on Posterior Cranial Fossa:Management and Treatment of 9 Children Patients at Morozovskaya Children’s Hospital: Arteriovenous Malformation Rupture on Posterior Cranial Fossa:Management. Asian Australasian Neuro and Health Science Journal (AANHS-J), 7(02), 69–82. https://doi.org/10.32734/aanhsj.v7i02.22492

Issue

Vol. 7 No. 02 (2025): AANHS Journal

Section

Articles

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