title: Stereotactic body radiotherapy for a large arteriovenous malformation of the head and neck.
abstract: Large arteriovenous malformations (AVMs) of the head and neck present a treatment challenge. A 38-year-old woman presented with a large intraoral bleed from longstanding AVMs of the left infratemporal fossa and the right tongue, despite 10 prior surgeries and embolizations. She was treated with stereotactic body radiotherapy with a dose of 24 Gy in three weekly fractions. Four years later, she has had dramatic shrinkage of her AVM, no recurrent bleeding episodes, no further treatment required, and no significant late effects. Level of evidence: NA.
authors.affiliation: Department of Radiation Oncology, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Shlomo A
authors.initials: SA
authors.lastname: Koyfman
authors.forename: Monica E
authors.initials: ME
authors.lastname: Shukla
authors.forename: Aliye
authors.initials: A
authors.lastname: Bricker
authors.forename: Toufik
authors.initials: T
authors.lastname: Djemil
authors.forename: Benjamin
authors.initials: B
authors.lastname: Wood
authors.forename: Thomas
authors.initials: T
authors.lastname: Masaryk
authors.forename: John H
authors.initials: JH
authors.lastname: Suh
mesh_terms: D000328:Adult; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D011859:Radiography; D016634:Radiosurgery; D014059:Tongue / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Extracranial arteriovenous malformation; head and neck; radiosurgery; stereotactic body radiotherapy