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- Jeffrey I Traylor, Garrett S Johnson, Ramsey Ashour, Paiman Ghafoori, and Robert J Buchanan.
- Department of Neurosurgery, Dell Medical School, The University of Texas, Austin, Texas, USA. Electronic address: jeff.traylor@utexas.edu.
- World Neurosurg. 2019 May 1; 125: 329-332.
BackgroundEvidence to support the use of stereotactic radiosurgery (SRS) in the treatment of epilepsy secondary to cerebral arteriovenous malformations (AVMs) is emerging. However, these studies have not clearly demonstrated the use of SRS in the treatment of drug-resistant epilepsy (DRE) in high Spetzler-Martin grade (IV-V) AVMs.Case DescriptionWe present a 48-year-old woman with DRE secondary to a Spetzler-Martin grade V cerebral AVM. She was treated with volume-staged SRS (VS-SRS) and achieved near-complete resolution of her seizures with incomplete obliteration of the AVM. Six years after treatment, she has experienced no serious complications.ConclusionsVS-SRS successfully controlled seizures (Engel Outcome Measure of 1A) in a patient with intractable, DRE secondary to a high-grade cerebral AVM.Copyright © 2019 Elsevier Inc. All rights reserved.
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