The Spetzler-Martin grading system and management of patients with intracranial arteriovenous malformation in a tertiary referral hospital

S. A. Al-Edrus, S. N. Suhaimi, A. R. Noor Azman, A. Z. Latif, M. Sobri

Research output: Contribution to journalArticle

Abstract

Introduction: An arteriovenous malformation (AVM) is an abnormal collection of blood vessels in which arterial blood flows directly into the draining vein without the normal interposed capillaries. The Spetzler-Martin grading system has been widely accepted worldwide to estimate the pretreatment risks and predict the outcome of patients with intracranial AVM. In Malaysia, we still do not have the baseline data of this grading system. Methods: A total of 33 patients from a tertiary referral hospital diagnosed with intracranial AVM based on neuroimaging findings over a 4-year period were studied. Medical records were traced and neuroimaging findings were analysed. The AVMs were graded according to the Spetzler-Martin grading system and Fisher's exact test was used to assess statistical difference between the grades of the AVM and management plan for the patients. Results: Four patients were graded as Grade 1, 9 patients as Grade II, 10 patients as Grade III, 6 patients as Grade IV and 4 patients as Grade V. Ten patients were treated conservatively; six patients underwent surgery and embolisation respectively. Four patients underwent radiosurgery and a combination of embolisation while surgery and radiosurgery were given to 5 patients and 2 patients respectively. Statistically significant difference (p=0.016) was found between me Spetzler-Martin grading system and the management of intracranial AVMs. Conclusion: The management decision was not made based on the grading of the AVMs. It is recommended that all AVM patients be routinely graded according to this system prior to treatment.

Original languageEnglish
Pages (from-to)91-99
Number of pages9
JournalMalaysian Journal of Medicine and Health Sciences
Volume6
Issue number1
Publication statusPublished - Jan 2010

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Intracranial Arteriovenous Malformations
Tertiary Care Centers
Arteriovenous Malformations
Radiosurgery
Neuroimaging
Malaysia
Information Systems

Keywords

  • Intracranial arteriovenous malformation
  • Spetzler-Martin grading

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The Spetzler-Martin grading system and management of patients with intracranial arteriovenous malformation in a tertiary referral hospital. / Al-Edrus, S. A.; Suhaimi, S. N.; Noor Azman, A. R.; Latif, A. Z.; Sobri, M.

In: Malaysian Journal of Medicine and Health Sciences, Vol. 6, No. 1, 01.2010, p. 91-99.

Research output: Contribution to journalArticle

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