, Dans un cas, nous avons relevé la participation de la veine thalamo-striée (5 % des patients). Néanmoins, dans ce cas, la veine thalamo-striée ne drainait pas la portion thalamique de la MAVc, mais celle intéressant le striatum. Dans 67 % des cas (14 patients) le drainage s'effectuait par la veine cérébrale interne ; dans 38 % des cas (8 patients) par la veine basale de Rosenthal. Chez un patient

, Le drainage s'effectuait du côté homolatéral à la MAVc dans tous les cas

, patients), le drainage veineux était mixte (superficiel et profond), le reste des patients (18 patients ; 85 %) avaient un drainage veineux profond exclusif, Dans 15 % des cas

, Le nombre médian de veines de drainages par patient était de 1 (min : 1 ; max : 3)

, Une ectasie focale était observée dans 10% des cas (2 patients), avec un cas (5%) de sténose veineuse associée, Par ailleurs, avons répertorié deux patients (10 %) avec une occlusion du sinus droit

, Une seule étude décrit l'utilisation de particules de polyvinyl d'alcool (5 patients de leur étude, vol.16, 1984.

, Il ont rapporté un taux de complication de 33% durant la période d'utilisation des particules de polyvinyl d'alcool contre 8,3% (2 patients sur 24) avec l'utilisation de colle cyano-acrylate, 1990.

, Le traitement endovasculaire à l'aide de colle acrylique, par voie trans-artérielle, a été le traitement le plus fréquemment rapporté

, Une seule étude (135) a évalué l'efficacité et la sécurité de l'embolisation des MAVc profondes

S. Dans-notre, 12 patients ont été traités par embolisation (8 embolisations par voie artérielle

, Le taux d'oblitération complète par cette technique varie dans la littérature entre 14,3 % et 72%

, L'étude ayant rapporté les résultats des embolisations par voie veineuse rapporte un taux d'occlusion plus élevé, vol.81

, Sept études (26,112,114,120,123,131,132) ont rapporté un taux d'exclusion complète moyen de 85,33% (min : 14,3 ; max : 100%), avec un taux de complications grave de, Les voies d'abords préférentielles utilisées pour le traitement des MAVc thalamiques sont la voie trans-calleuse inter-hémisphérique, vol.10

, Ces taux d'occlusion semblent nettement supérieurs à ceux des autres modalités de traitement

. Néanmoins, dans ces séries chirurgicales, il existe deux biais importants. Le premier biais est la performance de l'opérateur. En effet, ces études rapportent l'expérience d'un opérateur unique très BIBLIOGRAPHIE

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