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Updated: Mar 1, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Radiosurgical ablation of spinal cord arteriovenous malformations
Eric S Sussman1, John R Adler1, Robert L Dodd1
1Department of Neurosurgery, Stanford University, Stanford, CA, USA.
Abstract:
Spinal cord arteriovenous malformations (SCAVMs) are rare entities that account for less than 20% of spinal masses. These lesions represent a unique clinical challenge, in that surgical or endovascular treatment is often associated with devastating functional consequences. Over the past few decades, radiosurgery has become a well-established treatment modality for SCAVMs, and may be a first-line treatment in many patients afflicted with this devastating disease. This chapter summarizes the data available regarding radiosurgical treatment of SCAVMs.
Insights
Spinal cord arteriovenous malformations (SCAVMs) are rare spinal masses. Radiosurgery offers a promising treatment option for SCAVMs, potentially avoiding severe functional deficits associated with other interventions.
Area of Science:
- Neurosurgery
- Radiation Oncology
- Vascular Neurology
Background:
- Spinal cord arteriovenous malformations (SCAVMs) are uncommon spinal lesions.
- SCAVMs present significant treatment challenges due to potential for severe functional impairment with surgical or endovascular approaches.
Purpose of the Study:
- To review the current data on radiosurgery for spinal cord arteriovenous malformations.
- To evaluate radiosurgery as a primary treatment modality for SCAVMs.
Main Methods:
- Literature review of studies reporting on radiosurgical treatment of SCAVMs.
- Analysis of treatment outcomes and complications associated with radiosurgery for SCAVMs.
Main Results:
- Radiosurgery has emerged as an established treatment for SCAVMs.
- This modality may serve as a first-line option, potentially mitigating risks of other invasive procedures.
Conclusions:
- Radiosurgery is a viable and effective treatment for spinal cord arteriovenous malformations.
- Further research and data collection are essential to optimize radiosurgical techniques and outcomes for SCAVMs.

