Multimodality treatment of cerebral arteriovenous malformations
ezzat, M., Ala, M., M Taha, M., Abdelbary, T. (2022). Multimodality treatment of cerebral arteriovenous malformations. EKB Journal Management System, 28(6.1), 89-96. doi: 10.21608/zumj.2020.25513.1784
mohammad ezzat; Mohamed Ala; Mahmoud M Taha; Tarek Hassan Abdelbary. "Multimodality treatment of cerebral arteriovenous malformations". EKB Journal Management System, 28, 6.1, 2022, 89-96. doi: 10.21608/zumj.2020.25513.1784
ezzat, M., Ala, M., M Taha, M., Abdelbary, T. (2022). 'Multimodality treatment of cerebral arteriovenous malformations', EKB Journal Management System, 28(6.1), pp. 89-96. doi: 10.21608/zumj.2020.25513.1784
ezzat, M., Ala, M., M Taha, M., Abdelbary, T. Multimodality treatment of cerebral arteriovenous malformations. EKB Journal Management System, 2022; 28(6.1): 89-96. doi: 10.21608/zumj.2020.25513.1784

Multimodality treatment of cerebral arteriovenous malformations

Zagazig University Medical Journal
Article 13, Volume 28, Issue 6.1, November 2022, Page 89-96  XML PDF (414.79 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.25513.1784
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Authors
mohammad ezzat email 1; Mohamed Ala2; Mahmoud M Taha3; Tarek Hassan Abdelbary4
1zagazig
2Ain shames university
3Department of Neurosurgery
4Zagazig university
Abstract
Abstract
Background: cerebral arteriovenous malformations (AVMs) , vascular lesions in the brain , can cause neurological complications like intracerebral hemorrhage. Treatment options include surgical excision , endovascular embolization , radiosurgery and multimodal therapy. Multimodality treatment uses two or more options to treat the same case , so maximizing the benefits of each option.
Objectives: The aim is to evaluate outcome of patients with cerebral AVMs by surgery , embolization , radiosurgery and multimodality treatment in neurosurgery Department, Zagazig University Hospitals from May 2017 to May 2019.
Patients and methods: 42 patients with AVM included 5 cases operated for excision, 23 cases for endovascular embolization, 14 cases for both endovascular embolization and gamma knife radiosurgery. in this study we used single modality approach (surgery or embolization) in 28 cases and multimodality approach (embolization followed by radiosurgery) in 14 cases.
Results: multimodality treatment provides a better solution for large AVMs and those with residual nidus following embolization.
Conclusion: management of AVMs depends on presenting symptoms , SMG , patient choice , center experience
Key words
cerebral arteriovenous malformations, multimodality treatment, ruptured AVM , cerebral hemorrhage, unruptured AVM, stereotactic radiosurgery.
Keywords
Key words cerebral arteriovenous malformations; multimodality treatment; cerebral hemorrhage; unruptured AVM; stereotactic radiosurgery
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