PMID: 12762874May 24, 2003Paper

Patient outcomes after arteriovenous malformation radiosurgical management: results based on a 5- to 14-year follow-up study

Neurosurgery
B E PollockR J Coffey

Abstract

Radiosurgery is commonly performed for patients with small to medium-sized arteriovenous malformations (AVMs). However, few articles present overall outcomes after one or more radiosurgical procedures, and few data are available for periods longer than 5 years after AVM radiosurgery. Between 1990 and 1997, 144 patients underwent AVM radiosurgery and had angiographic follow-up. Of these patients, 112 (78%) had Spetzler-Martin Grade III or greater AVMs; 37 (26%) were located in the basal ganglia, thalamus, or brainstem. Twenty-six patients (18%) underwent repeat radiosurgery. The mean follow-up of 15 patients who died as a result of AVM bleeding or underwent AVM resection after the initial radiosurgery was 22 months (range, 3-47 mo); the mean follow-up of the remaining 129 patients was 86 months (range, 23-169 mo). Excellent (obliteration without deficit, n = 96) or good (obliteration with minor deficit, n = 9) outcomes were achieved in 73% of patients after one or more radiosurgical procedures. Twenty patients (14%) sustained major deficits (n = 15; five had obliteration) or died (n = 5) after radiosurgery. Sixteen patients (11%) had unchanged neurological examinations but persistent arteriovenous shunting. Five patients (4%) re...Continue Reading

References

Jul 1, 1992·Journal of Neurosurgery·L SteinerM Steiner
Oct 1, 1986·Journal of Neurosurgery·R F Spetzler, N A Martin
Aug 4, 1983·The New England Journal of Medicine·R N KjellbergR D Adams
Jan 1, 1994·The Journal of the South Carolina Medical Association·B N Bailey
Jun 1, 1996·Journal of Neurosurgery·W A FriedmanP S Kubilis
Mar 1, 1996·Minimally Invasive Neurosurgery : MIN·B KarlssonL Steiner
Jun 19, 1998·Neurosurgery·B E PollockD Kondziolka
Jul 1, 1998·Journal of Neurosurgery·T L EllisJ M Buatti
Dec 29, 1998·Neurological Research·E de OliveiraJ Raso
Jul 27, 1999·International Journal of Radiation Oncology, Biology, Physics·L MiyawakiD Larson
Jun 6, 2000·Journal of Neurosurgery·S MaesawaL D Lunsford
Oct 6, 2000·International Journal of Radiation Oncology, Biology, Physics·B E PollockP J Schomberg
Oct 13, 2001·Journal of Neurosurgery·T KaidoT Sakaki
Jan 17, 2002·Journal of Neurosurgery·Bruce E Pollock, John C Flickinger
Jul 22, 2008·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·K EharaS Matsumoto

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Citations

Jul 3, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·David RubinHoward A Riina
Feb 3, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Je Young YeonJung-Il Lee
May 17, 2005·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Angelika ZabelJürgen Debus
Feb 5, 2011·Stereotactic and Functional Neurosurgery·Takashi ShutoJun Suenaga
Mar 1, 2007·Neurosurgery·Yuri M Andrade-SouzaMichael L Schwartz
Sep 18, 2008·Neurosurgery·Bruce E Pollock, John C Flickinger
May 5, 2009·Neurosurgical Focus·Parham MoftakharNeil A Martin
Nov 15, 2011·Journal of Neurosurgery·Nicholas C Bambakidis, Warren R Selman
Apr 28, 2012·Neurosurgical Focus·Bradley A GrossRose Du
Jul 3, 2013·Journal of Neurosurgery·Bruce E Pollock
Apr 17, 2004·Journal of Neurosurgery·Nicolas de Tribolet
Sep 9, 2004·Journal of Neurosurgery·Bruce E Pollock, Fredric B Meyer
Mar 3, 2006·Journal of Neurosurgery·Bruce E Pollock
Nov 24, 2006·Journal of Neurosurgery·Yuri M Andrade-SouzaMichael L Schwartz
Jun 17, 2006·Journal of Neurosurgery·Aaron A Cohen-Gadol, Bruce E Pollock
Apr 2, 2008·Journal of Neurosurgery. Pediatrics·David Hung-Chi PanTai-Tong Wong
Aug 12, 2009·Neurosurgical Review·Siamak AsgariIbrahim Erol Sandalcioglu
Jun 2, 2006·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Javad Mirza-AghazadehMichael L Schwartz
Nov 22, 2013·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Matylda MachnowskaTimo Krings
Aug 9, 2008·AJNR. American Journal of Neuroradiology·T J HodgsonN Deasy
Feb 4, 2010·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Angelika Zabel-du BoisPeter E Huber
Feb 9, 2012·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·M FuetschM Maarouf
Nov 7, 2012·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·I A CetinG Storme
Feb 12, 2009·Acta neurochirurgica·Seung-Yeob YangDae Hee Han

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