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Updated: Jun 12, 2026
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Stereotactic radiosurgery for pediatric arteriovenous malformations
Andrew B Foy1, Nicholas Wetjen, Bruce E Pollock
1Department of Neurologic Surgery, Mayo Clinic and Foundation, 200 First Street SW, Rochester, MN 55905, USA.
Insights
Pediatric intracranial arteriovenous malformations (AVMs) pose a high hemorrhage risk. This review examines radiosurgery
Area of Science:
- Neurosurgery
- Pediatric Neurology
- Radiation Oncology
Background:
- Intracranial arteriovenous malformations (AVMs) in children present a significant risk of hemorrhage.
- Effective treatment is crucial to prevent bleeding and neurological damage in pediatric patients.
Purpose of the Study:
- To review current data on radiosurgery for treating childhood intracranial AVMs.
- To examine factors influencing successful radiosurgery outcomes in pediatric AVMs.
- To compare pediatric AVM radiosurgery outcomes with those in adult patients.
Main Methods:
- Review of current literature and data on radiosurgery for pediatric intracranial AVMs.
- Analysis of factors associated with successful treatment.
- Comparative review of outcomes between pediatric and adult populations.
Main Results:
- Radiosurgery is a viable treatment option for pediatric intracranial AVMs.
- Specific factors influence the success rates of radiosurgery in children.
- Outcomes in pediatric patients may differ from those observed in adults.
Conclusions:
- Radiosurgery is an important modality for managing pediatric intracranial AVMs.
- Understanding factors for success and comparing with adult data can optimize treatment strategies.
- Further research may refine radiosurgery protocols for improved pediatric AVM management.
Abstract:
Children with intracranial arteriovenous malformations (AVM) have a high cumulative risk of hemorrhage and therefore effective treatment of AVMs in the pediatric population is imperative. Treatment options include microsurgical resection, endovascular embolization, staged or single fraction radiosurgery, or some combination of these treatments, with the ultimate goal of eliminating the risk of hemorrhage. In this article the authors review the current data on the use of radiosurgery for the treatment of childhood AVMs. Factors associated with successful AVM radiosurgery in this population are examined, and comparisons with outcomes in adult patients are reviewed.
