显微手术切除和放射外科治疗在脑动静脉畸形中的作用。
The role of microsurgical resection and radiosurgery for cerebral arteriovenous malformations.
作者信息
Serrone Joseph, Zuccarello Mario
机构信息
University of Cincinnati College of Medicine, Cincinnati, Ohio.
University of Cincinnati College of Medicine, Cincinnati, Ohio ; Mayfield Clinic, Cincinnati, Ohio.
出版信息
Methodist Debakey Cardiovasc J. 2014 Oct-Dec;10(4):240-4. doi: 10.14797/mdcj-10-4-240.
Abstract
Cerebral arteriovenous malformations (AVMs) present unique challenges to cerebrovascular specialists. Management of these lesions begins with assessing their natural history. Intervention with the goal of complete obliteration requires some component of microsurgical techniques or radiosurgery. Clinicians must weigh observation and acceptance of the natural history of these lesions versus intervention on a case-by-case basis. Microsurgical resection and radiosurgery are both well-validated tools used in selectively treating cerebral AVMs. This manuscript offers a general review of the management of cerebral AVMs with multimodality treatment recommendations.
摘要
脑动静脉畸形（AVM）给脑血管专家带来了独特的挑战。对这些病变的管理始于评估其自然病史。以完全闭塞为目标的干预需要一些显微外科技术或放射外科的组成部分。临床医生必须根据具体情况权衡对这些病变自然病史的观察和接受与干预。显微外科切除和放射外科都是用于选择性治疗脑AVM的经过充分验证的工具。本文提供了关于脑AVM管理及多模式治疗建议的综述。
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