title: [Focalized multiple beam radiotherapy: an alternative in the treatment of deep cerebral arteriovenous malformations].
abstract: 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.
authors.affiliation: Service de pédiatrie Marfan, CHU Morvan, Brest, France.
authors.forename: E
authors.initials: E
authors.lastname: Finel
authors.forename: C
authors.initials: C
authors.lastname: Bourdais
authors.forename: B
authors.initials: B
authors.lastname: Vallée
authors.forename: J
authors.initials: J
authors.lastname: Régis
authors.forename: J M
authors.initials: JM
authors.lastname: Le Fur
authors.forename: L
authors.initials: L
authors.lastname: de Parscau
mesh_terms: 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
chemical_list: D000893:Anti-Inflammatory Agents; D013256:Steroids
vernacular_title: Radiothérapie multifaisceaux focalisée: une alternative pour le traitement des malformations artérioveineuses cérébrales profondes.