Department of Neurosurgery, Boston Children's Hospital and Harvard Medical School, 300 Longwood Avenue, 02115, Boston, MA, USA.
Childs Nerv Syst. 2023 Oct;39(10):2807-2818. doi: 10.1007/s00381-023-06077-x. Epub 2023 Jul 18.
Arteriovenous malformations (AVMs) represent one of the most challenging diagnoses in pediatric neurosurgery. Until recently, the majority of AVMs was only identified after hemorrhage and primarily treated with surgery. However, recent advances in a wide range of fields-imaging, surgery, interventional radiology, radiation therapy, and molecular biology-have profoundly advanced the understanding and therapy of these complex lesions. Here we review the progress made in pediatric AVMs with a specific focus on innovations relevant to clinical care.
动静脉畸形(AVM)是小儿神经外科最具挑战性的诊断之一。直到最近,大多数 AVM 仅在出血后才能被发现,主要通过手术治疗。然而,近年来,在影像学、手术、介入放射学、放射治疗和分子生物学等广泛领域的进展,极大地推动了对这些复杂病变的认识和治疗。在此,我们重点关注与临床护理相关的创新,综述小儿 AVM 的研究进展。