Associations of Brain Arteriovenous Malformation-Related Factors with Epileptic Seizure Presentations

Abstract

Background: Arteriovenous malformations (AVMs) are abnormal tangles of arteries and veins that connect directly without an intervening capillary bed. Epileptic seizures are the second most common symptom in patients with brain AVMs, occurring in 30 to 50% of cases. However, the exact mechanism of epileptic seizure development in AVMs remains unclear. In this study, we aimed to investigate the factors associated with epileptic seizures in patients with brain arteriovenous malformation (AVMs) in Kazakhstan. Methods: A case–control study was conducted, which included 163 patients diagnosed with brain AVMs. Demographic and clinical data were collected and analyzed, and multivariate logistic regression was built to assess the factors associated with seizures in brain AVMs. Results: from this rupture of vessels OR = 0.36 95% CI (0.14–0.91, a medium-to-high Spetzler-Martin score (III–V) OR = 6.16 (2.14–17.69) and OR = 3.05 (1.08–8.68), respectively), location in brain cortex (frontal lobe OR = 6.16 (2.04–18.54), parietal lobe OR = 9.37 (3.26–26.91), temporal lobe OR = 4.57 (1.56–13.36), occipital lobe OR = 0.27 (0.08–0.91), and the presence of hemiparesis OR = 0.12 (0.02–0.66) in adverse outcomes were statistically significantly associated with the presence of epileptic seizures in brain arteriovenous malformations patients. Conclusions: To conclude, this contributed to model factors associated with brain arteriovenous malformations that are linked to epileptic seizures.

Keywords

• brain arteriovenous malformations
• epilepsy seizures