2012
DOI: 10.3171/2011.9.jns11175
|View full text |Cite
|
Sign up to set email alerts
|

Stereotactic radiosurgery for arteriovenous malformations, Part 4: management of basal ganglia and thalamus arteriovenous malformations

Abstract: Object The authors conducted a study to define the long-term outcomes and risks of stereotactic radiosurgery (SRS) for arteriovenous malformations (AVMs) of the basal ganglia and thalamus. Methods Between 1987 and 2006, the authors performed Gamma Knife surgery in 996 patients with brain AVMs; 56 patients had AVMs of the basal ganglia and 77 had AVMs of the thalamus. In this series, 113 (85%) of 133 patients had a prior hemorrhage. The median target volume was 2.7 cm3 (range 0.1–20.7 cm3) and the median margi… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1

Citation Types

1
75
1
1

Year Published

2012
2012
2024
2024

Publication Types

Select...
5
3

Relationship

1
7

Authors

Journals

citations
Cited by 75 publications
(78 citation statements)
references
References 48 publications
1
75
1
1
Order By: Relevance
“…[22][23][24][25] Radiosurgery is a minimally invasive modality for the treatment of AVMs, and it is especially favorable, relative to microsurgery, for small-to moderate-sized AVMs in eloquent or deep brain areas. [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] The results of many previous radiosurgery series are confounded by the inclusion of patients who were previously treated with surgical resection, embolization, and fractionated radiation therapy. Thus, comparing the outcomes of these unfiltered studies to those of the interventional arm of ARUBA cannot lead to generalizable conclusions.…”
Section: February 2016mentioning
confidence: 99%
“…[22][23][24][25] Radiosurgery is a minimally invasive modality for the treatment of AVMs, and it is especially favorable, relative to microsurgery, for small-to moderate-sized AVMs in eloquent or deep brain areas. [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] The results of many previous radiosurgery series are confounded by the inclusion of patients who were previously treated with surgical resection, embolization, and fractionated radiation therapy. Thus, comparing the outcomes of these unfiltered studies to those of the interventional arm of ARUBA cannot lead to generalizable conclusions.…”
Section: February 2016mentioning
confidence: 99%
“…[7][8][9][10][11][12] It is characterized by high obliteration rates, especially in small lesions, and low risk of adverse effects and complications. In the present retrospective study, we were not able to demonstrate an association of the optimal K index dose with improved obliteration rates, in comparison with smaller doses.…”
Section: Discussionmentioning
confidence: 99%
“…Stereotactic radiosurgery has gained popularity in recent years. 1,2,4,5,[7][8][9][10][11][12]21 Its effect on the obliteration of AVMs is gradual, with patients remaining at risk for hemorrhage during this latency period. Complete obliteration, after a single session, has been reported to vary between 60% and 80% over 5 years.…”
mentioning
confidence: 99%
“…As shown by Kano and coworkers in this multipart series, radiosurgery is a good (and probably the best) option for most thalamic and brainstem AVMs with obliteration rates approaching 70% at 5 years. 4,5 However, the incidence of adverse radiation effects with Gamma Knife surgery in these locations is higher than that for AVMs of equal volume in other areas of the brain.…”
mentioning
confidence: 91%
“…In this 6-part series, the group from the University of Pittsburgh provides us with an update of their experience with radiosurgical treatment of AVMs in different situations. [1][2][3][4][5][6] How can we incorporate the information provided into our management of these challenging lesions?…”
mentioning
confidence: 99%