20/10/2020 Spetzler Martin grading scale - UpToDate

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Spetzler-Martin grading scale for intracranial arteriovenous malformations

  Score

Size

0 to 3 cm 1

3.1 to 6.0 cm 2

>6 cm 3

Location

Noneloquent brain area 0

Eloquent brain area* 1

Deep venous drainage

Absent 0

Present 1

Score = sum of all categories, with lesions graded 1 to 5 based upon total sum (eg, 1 point = grade 1).

* Associated with significant neurologic impairment (eg, language area, motor cortex, others).

Reference:
1. Spetzler RF, Martin NA. A proposed grading system for arteriovenous malformations. J Neurosurg 1986; 65:476.

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