Surgical approaches to vascular anomalies of the child's brain.
The population of pediatric patients with cerebrovascular disease presents a unique set of challenges to the neurosurgeon. The wide scope of pathology, including arteriovenous malformations, cavernous malformations and moyamoya disease, coupled with marked advances in diagnosis and treatment of these conditions over the past several years has resulted in a proliferation of the literature related to this subject. The present review provides an overview of current methods of surgical treatment for pediatric cerebrovascular diseases, focusing on indications and use of recent refinements of pre-existing surgical approaches, and newly evolved operative techniques developed to treat these entities.
Smith
Edward R
ER
Cerebrovascular Surgery, Neurosurgical Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA.
Butler
William E
WE
Ogilvy
Christopher S
CS
D002426:Cavernous Sinus / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000453:epidemiology / Q000601:surgery* / Q000628:therapy; D009072:Moyamoya Disease / Q000453:epidemiology / Q000601:surgery* / Q000628:therapy; D019990:Perioperative Care; D011184:Postoperative Period