Effect of Targeted Embolization on Seizure Outcomes in Patients with Brain Arteriovenous Malformations
Background: Seizures are one of the most debilitating manifestations of brain arteriovenous malformations (AVMs). This study aimed to evaluate the effect of curative embolization on brain AVM patients presenting with seizures. Methods: The records of patients who underwent embolization for brain AVM...
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MDPI AG
2022-12-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/1/47 |
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| author | Chingiz Nurimanov Aisha Babi Karashash Menlibayeva Yerbol Makhambetov Assylbek Kaliyev Elena Zholdybayeva Serik Akshulakov |
| author_facet | Chingiz Nurimanov Aisha Babi Karashash Menlibayeva Yerbol Makhambetov Assylbek Kaliyev Elena Zholdybayeva Serik Akshulakov |
| author_sort | Chingiz Nurimanov |
| collection | DOAJ |
| description | Background: Seizures are one of the most debilitating manifestations of brain arteriovenous malformations (AVMs). This study aimed to evaluate the effect of curative embolization on brain AVM patients presenting with seizures. Methods: The records of patients who underwent embolization for brain AVM from January 2012 to December 2020 were evaluated and patients presenting with seizures were interviewed. Patient responses were evaluated according to the International League Against Epilepsy (ILAE) and Engel classifications. Statistical analyses of factors associated with seizure outcomes and complications were performed using ANOVA and Fischer’s exact tests. Results: The mean age of the participants was 35.2 ± 10.7 years. More than 80% of the patients received no or suboptimal dosages of antiepileptic drugs (AEDs) prior to embolization. Positive seizure dynamics were observed in 50% of the patients post-procedure. A correlation was found between length of seizures in anamnesis and outcomes of both Engel and ILAE score, where shorter length was associated with better outcomes. Post-embolization hemorrhage was associated with initial presentation with hemorrhage. Conclusions: The embolization of brain AVMs had a positive effect on seizure presentation and a relatively low prevalence of complications. However, the results of the study are obscured by inadequate AED treatment received by the patients, which prompts prospective studies on the topic with careful patient selection. |
| first_indexed | 2024-03-11T10:04:33Z |
| format | Article |
| id | doaj.art-0988a1dff270449084f7fa4ed43ad3da |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T10:04:33Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-0988a1dff270449084f7fa4ed43ad3da2023-11-16T15:08:07ZengMDPI AGDiagnostics2075-44182022-12-011314710.3390/diagnostics13010047Effect of Targeted Embolization on Seizure Outcomes in Patients with Brain Arteriovenous MalformationsChingiz Nurimanov0Aisha Babi1Karashash Menlibayeva2Yerbol Makhambetov3Assylbek Kaliyev4Elena Zholdybayeva5Serik Akshulakov6Vascular and Functional Neurosurgery Department, National Center for Neurosurgery, Astana 010000, KazakhstanHospital Management Department, National Center for Neurosurgery, Astana 010000, KazakhstanHospital Management Department, National Center for Neurosurgery, Astana 010000, KazakhstanVascular and Functional Neurosurgery Department, National Center for Neurosurgery, Astana 010000, KazakhstanHospital Management Department, National Center for Neurosurgery, Astana 010000, KazakhstanNational Center for Biotechnology, Astana 010000, KazakhstanHospital Management Department, National Center for Neurosurgery, Astana 010000, KazakhstanBackground: Seizures are one of the most debilitating manifestations of brain arteriovenous malformations (AVMs). This study aimed to evaluate the effect of curative embolization on brain AVM patients presenting with seizures. Methods: The records of patients who underwent embolization for brain AVM from January 2012 to December 2020 were evaluated and patients presenting with seizures were interviewed. Patient responses were evaluated according to the International League Against Epilepsy (ILAE) and Engel classifications. Statistical analyses of factors associated with seizure outcomes and complications were performed using ANOVA and Fischer’s exact tests. Results: The mean age of the participants was 35.2 ± 10.7 years. More than 80% of the patients received no or suboptimal dosages of antiepileptic drugs (AEDs) prior to embolization. Positive seizure dynamics were observed in 50% of the patients post-procedure. A correlation was found between length of seizures in anamnesis and outcomes of both Engel and ILAE score, where shorter length was associated with better outcomes. Post-embolization hemorrhage was associated with initial presentation with hemorrhage. Conclusions: The embolization of brain AVMs had a positive effect on seizure presentation and a relatively low prevalence of complications. However, the results of the study are obscured by inadequate AED treatment received by the patients, which prompts prospective studies on the topic with careful patient selection.https://www.mdpi.com/2075-4418/13/1/47brain arteriovenous malformationembolizationseizureILAEEngel |
| spellingShingle | Chingiz Nurimanov Aisha Babi Karashash Menlibayeva Yerbol Makhambetov Assylbek Kaliyev Elena Zholdybayeva Serik Akshulakov Effect of Targeted Embolization on Seizure Outcomes in Patients with Brain Arteriovenous Malformations Diagnostics brain arteriovenous malformation embolization seizure ILAE Engel |
| title | Effect of Targeted Embolization on Seizure Outcomes in Patients with Brain Arteriovenous Malformations |
| title_full | Effect of Targeted Embolization on Seizure Outcomes in Patients with Brain Arteriovenous Malformations |
| title_fullStr | Effect of Targeted Embolization on Seizure Outcomes in Patients with Brain Arteriovenous Malformations |
| title_full_unstemmed | Effect of Targeted Embolization on Seizure Outcomes in Patients with Brain Arteriovenous Malformations |
| title_short | Effect of Targeted Embolization on Seizure Outcomes in Patients with Brain Arteriovenous Malformations |
| title_sort | effect of targeted embolization on seizure outcomes in patients with brain arteriovenous malformations |
| topic | brain arteriovenous malformation embolization seizure ILAE Engel |
| url | https://www.mdpi.com/2075-4418/13/1/47 |
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