Случаи сочетания артериовенозных мальформаций и множественных аневризм сосудов головного мозга

Nd to evaluate the results of endovascular treatment in these patients. Materials and methods. Three clinical cases (one man and two women) of AVM and multiple cerebral aneurysms were analysed. Patients were treated at Scientific-practical Centre of Endovascular Neuroradiology NAMS of Ukraine (Kyiv) from 2010 to 2015. The age of patients from 46 to 47 years. All patients were operated using endovascular technique. AVM were embolized with liquid compositions. Aneurysms were coiling with detached coils. Patients examination included medical history, neurological status and neuroimaging. The «gold» standard selective cerebral angiography. Results. There was a combination of AVM and cerebral aneurysms of vertebro-basilar arteries. All patients with AVM had at least two aneurysms (in all 6 aneurysms). Subtotal embolization of AVM and MA coiling was performed simultaneously in all cases. According to the Raymond-Roy density occlusion scale, the total (I type by scale Raymond-Roy) off were achieved in 4 aneurysms, II type in one aneurysm and III type also in one aneurysm. One aneurysm that was excluded totally (I type) during the control period in 7 months changed the density of occlusion to II type. In the case of hemorrhagic manifestation, clinical pathology that appeared to be the cause was dealing first. Taking into consideration the localization of pathology and its multiple origin, endovascular treatment is the priority in these cases. Radiosurgical treatment was recommended for residual AVM in all cases. Clinical results of endovascular treatment in all these cases were good (5 points according to Glasgow Outcame Score).Conclusions. Endovascular surgery has the necessary arsenal of methods to treat these patients and is the «gold» standard considering the multiple pathology and the possibility for simultaneous treatment of both AVM and MA.