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J Neurol Surg A Cent Eur Neurosurg · Sep 2012
ReviewManagement of arteriovenous malformations related to Spetzler-Martin grading system.
- Tamer Altay.
- Department of Neurosurgery, University of Utah, Salt Lake City, UT 84132, USA. altaytamer@hotmail.com
- J Neurol Surg A Cent Eur Neurosurg. 2012 Sep 1; 73 (5): 307-19.
AbstractAdvanced technology and improved understanding of the natural history of arteriovenous malformations (AVMs) led to the reconsideration of the management of these lesions, which once comprised purely microsurgical removal. A multidisciplinary approach for both the evaluation and treatment of AVMs has gained acceptance within the past few decades. Treatment options for AVMs include surgical resection, embolization, or stereotactic radiosurgery, or any combination of these procedures. The risk of a chosen management strategy must include the sum of the risk of all the interventions applied to a given lesion, and this should be compared with the natural history of a given lesion in a particular clinical setting. Among all components of the multimodality treatment, however, microsurgical removal remains the definitive form of treatment.Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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