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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Volume-Staged Radiosurgery for Large Arteriovenous Malformation
Nguyen Thanh Xuan1, Pham Nguyen Tuong2, Tran Khoa2
1Department of Pediatric and Abdominal Emergency Surgery, Hue Central Hospital, Hue City, Vietnam.
Volume-staged radiosurgery offers a viable treatment for large arteriovenous malformations (AVMs) when surgery is too risky. This approach demonstrated effective obliteration, providing a safe option for complex AVM cases.
Area of Science:
- Neurosurgery
- Radiation Oncology
Background:
- Large intracranial arteriovenous malformations (AVMs) present significant management challenges due to potential adverse outcomes.
- Surgical resection and embolization are often contraindicated for large AVMs owing to high risks.
Observation:
- A 53-year-old male presented with a large intracranial AVM, experiencing persistent headache and seizures.
- Imaging revealed a bulky AVM nidus, deeming surgical or embolization approaches high-risk.
Findings:
- The patient underwent volume-staged radiosurgery for the intracranial AVM.
- One year post-treatment, complete obliteration of the AVM nidus supplied by the right internal carotid artery was achieved.
Implications:
- Volume-staged radiosurgery is a potentially effective treatment for large AVMs, particularly when conventional methods are not feasible.
- This technique shows promise for achieving controlled obliteration in complex AVM cases, improving patient management options.
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