Deep central arteriovenous malformations of the brain: The role of endovascular treatment

R. W. Hurst, A. Berenstein, M. J. Kupersmith, M. Madrid, Eugene S. Flamm

Research output: Contribution to journalArticle

70 Citations (Scopus)

Abstract

Cerebral deep central arteriovenous malformations (AVMs) are uncommon lesions associated with considerable difficulty in treatment. The authors report a series of 14 deep central AVMs treated by endovascular methods and examine the present role of endovascular treatment. This treatment used alone resulted in complete obliteration of AVMs in approximately 15% of cases and reduction in 50% to a size permitting treatment by means of radiosurgery. Reversal of previous neurological signs and symptoms occurred in 35.7% of embolized patients. Overall, nearly 80% of patients had either complete obliteration of the lesion, reduction to a size allowing radiosurgical treatment, or reversal of previous neurological deficits. There were treatment complications in 14.3% of the cases. Endovascular treatment methods may make a significant contribution to the therapy of AVMs that have a particularly poor course and are difficult to treat by other means.

Original languageEnglish (US)
Pages (from-to)190-195
Number of pages6
JournalJournal of Neurosurgery
Volume82
Issue number2
StatePublished - 1995
Externally publishedYes

Fingerprint

Arteriovenous Malformations
Brain
Therapeutics
Radiosurgery
Signs and Symptoms

Keywords

  • arteriovenous malformation
  • basal ganglion
  • embolization
  • endovascular therapy
  • interventional neuroradiology
  • thalamus

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Hurst, R. W., Berenstein, A., Kupersmith, M. J., Madrid, M., & Flamm, E. S. (1995). Deep central arteriovenous malformations of the brain: The role of endovascular treatment. Journal of Neurosurgery, 82(2), 190-195.

Deep central arteriovenous malformations of the brain : The role of endovascular treatment. / Hurst, R. W.; Berenstein, A.; Kupersmith, M. J.; Madrid, M.; Flamm, Eugene S.

In: Journal of Neurosurgery, Vol. 82, No. 2, 1995, p. 190-195.

Research output: Contribution to journalArticle

Hurst, RW, Berenstein, A, Kupersmith, MJ, Madrid, M & Flamm, ES 1995, 'Deep central arteriovenous malformations of the brain: The role of endovascular treatment', Journal of Neurosurgery, vol. 82, no. 2, pp. 190-195.
Hurst, R. W. ; Berenstein, A. ; Kupersmith, M. J. ; Madrid, M. ; Flamm, Eugene S. / Deep central arteriovenous malformations of the brain : The role of endovascular treatment. In: Journal of Neurosurgery. 1995 ; Vol. 82, No. 2. pp. 190-195.
@article{21dbf5b395d842129b6e92c2b2fe414b,
title = "Deep central arteriovenous malformations of the brain: The role of endovascular treatment",
abstract = "Cerebral deep central arteriovenous malformations (AVMs) are uncommon lesions associated with considerable difficulty in treatment. The authors report a series of 14 deep central AVMs treated by endovascular methods and examine the present role of endovascular treatment. This treatment used alone resulted in complete obliteration of AVMs in approximately 15{\%} of cases and reduction in 50{\%} to a size permitting treatment by means of radiosurgery. Reversal of previous neurological signs and symptoms occurred in 35.7{\%} of embolized patients. Overall, nearly 80{\%} of patients had either complete obliteration of the lesion, reduction to a size allowing radiosurgical treatment, or reversal of previous neurological deficits. There were treatment complications in 14.3{\%} of the cases. Endovascular treatment methods may make a significant contribution to the therapy of AVMs that have a particularly poor course and are difficult to treat by other means.",
keywords = "arteriovenous malformation, basal ganglion, embolization, endovascular therapy, interventional neuroradiology, thalamus",
author = "Hurst, {R. W.} and A. Berenstein and Kupersmith, {M. J.} and M. Madrid and Flamm, {Eugene S.}",
year = "1995",
language = "English (US)",
volume = "82",
pages = "190--195",
journal = "Journal of Neurosurgery",
issn = "0022-3085",
publisher = "American Association of Neurological Surgeons",
number = "2",

}

TY - JOUR

T1 - Deep central arteriovenous malformations of the brain

T2 - The role of endovascular treatment

AU - Hurst, R. W.

AU - Berenstein, A.

AU - Kupersmith, M. J.

AU - Madrid, M.

AU - Flamm, Eugene S.

PY - 1995

Y1 - 1995

N2 - Cerebral deep central arteriovenous malformations (AVMs) are uncommon lesions associated with considerable difficulty in treatment. The authors report a series of 14 deep central AVMs treated by endovascular methods and examine the present role of endovascular treatment. This treatment used alone resulted in complete obliteration of AVMs in approximately 15% of cases and reduction in 50% to a size permitting treatment by means of radiosurgery. Reversal of previous neurological signs and symptoms occurred in 35.7% of embolized patients. Overall, nearly 80% of patients had either complete obliteration of the lesion, reduction to a size allowing radiosurgical treatment, or reversal of previous neurological deficits. There were treatment complications in 14.3% of the cases. Endovascular treatment methods may make a significant contribution to the therapy of AVMs that have a particularly poor course and are difficult to treat by other means.

AB - Cerebral deep central arteriovenous malformations (AVMs) are uncommon lesions associated with considerable difficulty in treatment. The authors report a series of 14 deep central AVMs treated by endovascular methods and examine the present role of endovascular treatment. This treatment used alone resulted in complete obliteration of AVMs in approximately 15% of cases and reduction in 50% to a size permitting treatment by means of radiosurgery. Reversal of previous neurological signs and symptoms occurred in 35.7% of embolized patients. Overall, nearly 80% of patients had either complete obliteration of the lesion, reduction to a size allowing radiosurgical treatment, or reversal of previous neurological deficits. There were treatment complications in 14.3% of the cases. Endovascular treatment methods may make a significant contribution to the therapy of AVMs that have a particularly poor course and are difficult to treat by other means.

KW - arteriovenous malformation

KW - basal ganglion

KW - embolization

KW - endovascular therapy

KW - interventional neuroradiology

KW - thalamus

UR - http://www.scopus.com/inward/record.url?scp=0028842969&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028842969&partnerID=8YFLogxK

M3 - Article

C2 - 7815145

AN - SCOPUS:0028842969

VL - 82

SP - 190

EP - 195

JO - Journal of Neurosurgery

JF - Journal of Neurosurgery

SN - 0022-3085

IS - 2

ER -