The role of Linac radiosurgery in multidisciplinary management for cerebral arteriovenous malformations: personal experience.
The authors analyze their personal series of 90 patients with cerebral arteriovenous malformations (AVMs) concerning the place of radiosurgery (RS). Out of the 90 patients, 34 undervent Linac RS-RS was used as single treatment (17%) or in combination with embolization or surgery (21%.) Eradication rate assessed angiographically after 2 years was 89%. Regarding this personal series and the recent literature, several questions remain: should small superficial AVMs revealed by hemorrhage be irradiated or operated on and the role of embolization as a reductive method before RS in order to reduce the complications and improve the obliteration rates.
Service de Neurochirurgie, Hôpital Neurologique, Lyon, France.
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I
Pelissou-Guyotat
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Deruty
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Morel
D002533:Cerebral Angiography; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005500:Follow-Up Studies; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy*; D016634:Radiosurgery; D016896:Treatment Outcome