[Focalized multiple beam radiotherapy: an alternative in the treatment of deep cerebral arteriovenous malformations].
BACKGROUND
Cerebral arteriovenous malformations are usually treated by excision or selective embolization. Some untreatable malformations may be presently cured by radiosurgery.


METHODS
A 10-year-old girl without previous illness suffered from a sudden quadriventricular hemorrhage due to arteriovenous malformation. Initially the child recovered with symptomatic treatment. Neurosurgery and arterial embolization being impossible, Gamma-Unit treatment was performed. Treatment was first well tolerated but 8 months later, left hemiparesis and language disorders occurred, due to radionecrosis. These complications were dramatically improved by corticosteroids.


CONCLUSIONS
Gamma-Unit treatment can be successfully proposed for treating those malformations that are inaccessible to surgery or embolization.
Finel
E
E
Service de pédiatrie Marfan, CHU Morvan, Brest, France.
Bourdais
C
C
Vallée
B
B
Régis
J
J
Le Fur
J M
JM
de Parscau
L
L
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002648:Child; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy*; D008279:Magnetic Resonance Imaging; D011839:Radiation, Ionizing; D013256:Steroids
D000893:Anti-Inflammatory Agents; D013256:Steroids
Radiothérapie multifaisceaux focalisée: une alternative pour le traitement des malformations artérioveineuses cérébrales profondes.