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The natural history of symptomatic arteriovenous malformations of the brain: a 24-year follow-up assessment
Abstract
✓ The authors have updated a series of 166 prospectively followed unoperated symptomatic patients with arteriovenous malformations (AVM's) of the brain. Follow-up data were obtained for 160 (96%) of the original population, with a mean follow-up period of 23.7 years. The rate of major rebleeding was 4.0% per year, and the mortality rate was 1.0% per year. At follow-up review, 23% of the series were dead from AVM hemorrhage. The combined rate of major morbidity and mortality was 2.7% per year. These annual rates remained essentially constant over the entire period of the study. There was no difference in the incidence of rebleeding or death regardless of presentation with or without evidence of hemorrhage. The mean interval between initial presentation and subsequent hemorrhage was 7.7 years.
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Cited by
Predictors of hemorrhage in patients with untreated brain arteriovenous malformation
Stapf, C., Mast, H., Sciacca, R. R., Choi, J. H., Khaw, A. V., Connolly, E. S., Pile-Spellman, J., & Mohr, J. P. (2006) · Neurology · doi:10.1212/01.wnl.0000210524.68507.87 · Cited by 788
Arteriovenous Malformations of the Brain in Adults
(1999) · New England Journal of Medicine · doi:10.1056/nejm199906103402307 · Cited by 303
The risk of hemorrhage after radiosurgery for arteriovenous malformations
Friedman, W. A., Blatt, D. L., Bova, F. J., Buatti, J. M., Mendenhall, W. M., & Kubilis, P. S. (1996) · Journal of Neurosurgery · doi:10.3171/jns.1996.84.6.0912 · Cited by 256
Asadi, H., Kok, H. K., Looby, S., Brennan, P., O'Hare, A., & Thornton, J. (2016) · World Neurosurgery · doi:10.1016/j.wneu.2016.09.086 · Cited by 67
Metadata
- Authors
- Ondra, S. L., Troupp, H., George, E. D., & Schwab, K.
- Venue
- Journal of Neurosurgery
- Published
- 1990-09
- Volume
- 73
- Issue
- 3
- Pages
- 387-391
- ISSN
- 0022-3085 (ISSN-L)
- OpenAlex
- W2102766489
- Cited by
- 1,175
- References
- 0
- FWCI
- 11.86
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: The natural history of symptomatic arteriovenous malformations of the brain: a 24-year follow-up assessment. https://app.cochat.ai/papers/10.3171/jns.1990.73.3.0387
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- Ondra, S. L., Troupp, H., George, E. D., & Schwab, K. (1990). The natural history of symptomatic arteriovenous malformations of the brain: a 24-year follow-up assessment. Journal of Neurosurgery. https://doi.org/10.3171/jns.1990.73.3.0387
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.