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

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

Research output: Contribution to journalArticle

70 Scopus citations

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
Publication statusPublished - Jan 1 1995
Externally publishedYes

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Keywords

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

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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.