首页   按字顺浏览 期刊浏览 卷期浏览 Linear Accelerator Radiosurgery of Cerebral Arteriovenous Malformations
Linear Accelerator Radiosurgery of Cerebral Arteriovenous Malformations

 

作者: Federico Colombo,   Antonio Benedetti,   Franco Pozza,   Cristina Marchetti,   Giorgio Chierego,  

 

期刊: Neurosurgery  (OVID Available online 1989)
卷期: Volume 24, issue 6  

页码: 833-840

 

ISSN:0148-396X

 

年代: 1989

 

出版商: OVID

 

关键词: Cerebral arteriovenous malformations;Radiation injury;Radiosurgery;Stereotactic techniques

 

数据来源: OVID

 

摘要:

&NA;A technique for linear accelerator radiosurgery has been used in clinical practice since 1982. The technique is based on multiple intersecting arc irradiations focused on a stereotactic target. From November 1984 to October 1988, 97 patients with cerebral arteriovenous malformations have been treated. Seventy‐nine patients suffered one or more than one hemorrhage. Four patients had progressive neurological symptoms. In 14 patients, epilepsy was the principal complaint. Stereotactic localization was performed by stereotactic angiography. Lesion dimensions varied from 4 to 40 mm in diameter. Doses from 18.7 to 40 Gy were delivered in one or two sessions. Mean follow‐up is 17.1 months (from 1 to 49). Four instances of minor rebleeding were observed after treatment: 3 patients complained of transient neurological deterioration. Of 56 patients who were followed longer than 1 year, 50 underwent 12‐month follow‐up angiography. In 26 patients complete obliteration of the malformation was demonstrated (52%), in 12 patients subtotal obliteration was obtained (24%), in 11 patients the obliteration was evident but not significant (22%), and in 1 patient the AVM was unchanged. Other angiographic features in incompletely obliterated cases were a significant reduction of flow velocity through the malformation together with a reduction in diameter of both feeding arteries and draining veins. (Neurosurgery24:833‐840, 1989)

 

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