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Retrospective 5-Year Clinical Outcome of Interdisciplinary Treatment for Ruptured Cerebral Arteriovenous Malformation: The Lesson Learned

Sorayouth Chumnanvej

Introduction: To retrospectively evaluate 5-year clinical outcome; pre- versus postinterdisciplinary treatment for ruptured cerebral arteriovenous malformation (AVM) during 2004-2006.

Methods: The authors retrospectively reviewed the medical records of Thai ruptured AVM patient who admitted at Ramathibodi Hospital, Mahidol University during 2004-2006. Five-year follow-up pre- versus post-interdisciplinary treatment were determined using marginal homogeneity test (Stuart-Maxwell).

Results: There were 133 cases with ruptured AVM diagnosis during 2004-2006. Regarding to 5-year interval retrospective review, AVM volume, Spetzler-Martin Grading, Pollock-Flickinger Score, and the pre- versus post-interdisciplinary treatment Eastern Cooperative Oncology Group (ECOG) Score were determined.

Conclusion: There was the statistical significant difference of ECOG between before and after interdisciplinary treatment in ruptured AVM patient (p<0.001). There was favorable outcome rather than unfavorable outcome under interdisciplinary treatment for cerebral AVM patient.