{"id":2309,"date":"2017-09-20T12:46:34","date_gmt":"2017-09-20T12:46:34","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neursmg\/"},"modified":"2026-03-12T19:53:06","modified_gmt":"2026-03-12T19:53:06","slug":"neursmg","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/neursmg\/","title":{"rendered":"Escala de Graduaci\u00f3n Spetzler-Martin para Malformaciones Arteriovenosas Cerebrales"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Las malformaciones arteriovenosas del cerebro son anomal\u00edas cong\u00e9nitas de los vasos sangu\u00edneos que derivan del mal desarrollo de la red capilar, permitiendo conexiones directas entre las arterias cerebrales y las venas. Los s\u00edntomas de presentaci\u00f3n m\u00e1s comunes son hemorragia cerebral y convulsiones. Los d\u00e9ficits neurol\u00f3gicos focales y los dolores de cabeza pueden desarrollarse independientemente del sangrado cerebral. Como resultado del uso generalizado de im\u00e1genes cerebrales, cada vez se descubren m\u00e1s malformaciones arteriovenosas de manera incidental.<br \/>\n<!--more--><\/p>\n<p style=\"font-weight: 400;\">Las caracter\u00edsticas anat\u00f3micas espec\u00edficas de las malformaciones arteriovenosas forman la base de varias escalas de clasificaci\u00f3n de uso com\u00fan que se han validado como predictivas del resultado del tratamiento. La escala m\u00e1s utilizada para este prop\u00f3sito es la escala de Spetzler-Martin.<\/p>\n<p style=\"font-weight: 400;\"><strong>Escala de graduaci\u00f3n Spetzler-Martin para malformaciones arteriovenosas cerebrales<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0<strong>Caracter\u00edstica de la lesi\u00f3n<\/strong><\/td>\n<td style=\"width: 29.4261%; text-align: center;\"><strong>Puntos\u00a0<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0Tama\u00f1o<\/td>\n<td style=\"width: 29.4261%; text-align: center;\"><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0 \u00a0 \u00a0Peque\u00f1o\u00a0(&lt;3 cm)<\/td>\n<td style=\"width: 29.4261%; text-align: center;\">\u00a01<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0 \u00a0 \u00a0Mediano (3\u20136 cm)<\/td>\n<td style=\"width: 29.4261%; text-align: center;\">\u00a02<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0 \u00a0 \u00a0Grande (&gt;6 cm)<\/td>\n<td style=\"width: 29.4261%; text-align: center;\">\u00a03<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0Localizaci\u00f3n<\/td>\n<td style=\"width: 29.4261%; text-align: center;\"><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0 \u00a0 \u00a0No elocuente<\/td>\n<td style=\"width: 29.4261%; text-align: center;\">\u00a00<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0 \u00a0 \u00a0Elocuente<\/td>\n<td style=\"width: 29.4261%; text-align: center;\">\u00a01<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0Venas<\/td>\n<td style=\"width: 29.4261%; text-align: center;\"><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0 \u00a0 \u00a0Superficial<\/td>\n<td style=\"width: 29.4261%; text-align: center;\">\u00a00<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 70.4518%;\">\u00a0 \u00a0 \u00a0Profundo<\/td>\n<td style=\"width: 29.4261%; text-align: center;\">\u00a01<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">La escala se usa para tomar decisiones sobre los riesgos del tratamiento al tiempo que se toman en cuenta las caracter\u00edsticas anat\u00f3micas de una malformaci\u00f3n arteriovenosa cerebral. El grado resulta de la suma de los puntos asignados al tama\u00f1o de la lesi\u00f3n, la ubicaci\u00f3n (dentro o no de la corteza elocuente) y la presencia o ausencia de drenaje venoso profundo. Los grados m\u00e1s bajos (puntos totales m\u00e1s bajos) indican un menor riesgo de tratamiento.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Solomon RA, Connolly ES Jr. Arteriovenous Malformations of the Brain. N Engl J Med. 2017 May 11;376(19):1859-1866.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28489992\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Pollock BE, Storlie CB, Link MJ, Stafford SL, Garces YI, Foote RL. Comparative analysis of arteriovenous malformation grading scales in predicting outcomes after stereotactic radiosurgery.\u00a0J Neurosurg. 2017 Mar;126(3):852-858.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27058199\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Maroufi SF, Habibi MA, Mirjani MS, Molla A, Pabarja N, Mehmandoost M, Sheehan JP, Iranmehr A. Repeat single-session stereotactic radiosurgery for arteriovenous malformation: a systematic review and meta-analysis. Neurosurg Rev. 2024 May 4;47(1):203. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38702494\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado Sep 20, 2017.<br \/>\nActualizado Mar 12, 2026.<\/p>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Las malformaciones arteriovenosas del cerebro son anomal\u00edas cong\u00e9nitas de los vasos sangu\u00edneos que derivan del mal desarrollo de la red capilar, permitiendo conexiones directas entre las arterias cerebrales y las venas. Los s\u00edntomas de presentaci\u00f3n m\u00e1s comunes son hemorragia cerebral y convulsiones. Los d\u00e9ficits neurol\u00f3gicos focales y los dolores de cabeza pueden desarrollarse independientemente del [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[624,623,622,248,452,227,621,620,619,618,457,625],"class_list":["post-2309","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-arteriovenosas","tag-arteriovenous","tag-brain","tag-cerebral","tag-escala","tag-grading","tag-graduacion","tag-malformaciones","tag-malformations","tag-martin","tag-scale","tag-spetzler"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2309","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2309"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2309\/revisions"}],"predecessor-version":[{"id":10699,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2309\/revisions\/10699"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2309"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2309"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}