Gamma Knife Radiosurgery for Brain Vascular MalformationsA. Niranjan, H. Kano, L.D. Lunsford Clinical outcomes of brain vascular malformation have been greatly improved by advances in microsurgery, endovascular techniques and stereotactic radiosurgery. Radiosurgery has proven to be the least invasive technique and is associated with documented long-term success. The papers in this volume present the experience of leading brain vascular malformation specialists who describe the outcome of radiosurgery for arteriovenous malformations, cavernous malformations and dural arteriovenous fistulas. These reviews expand the knowledge of the role of stereotactic radiosurgery alone or in combination with other treatment modalities. Evidence-based guidelines are included in each section to provide a summary of the current management strategies. This unique publication includes additional data that will further define the long-term benefit and risks of radiosurgery for these often complex vascular disorders and makes valuable reading for neurosurgeons, neurologists and endovascular specialists interested in an excellent summary of more than 30 years of accumulated experience in the management of brain vascular malformations. |
Contents
The Technical Evolution of Gamma Knife Radiosurgery for ArteriovenousMalformations | |
Targeting and Conformality in Arteriovenous Malformation Radiosurgery | |
Dose Selection in Stereotactic Radiosurgery | |
Development and Testing of a RadiosurgeryBased Arteriovenous Malformation Grading System | |
Radiosurgery for Brainstem Arteriovenous Malformation | |
Stereotactic Radiosurgery Guideline for the Management of Patients with Intracranial Arteriovenous Malformations | |
Cavernous Malformations and Hemorrhage Risk | |
Radiosurgery of Brain Cavernomas LongTerm Results | |
Radiosurgical Treatment for Epilepsy Associated with Cavernomas | |
Stereotactic Radiosurgery Guidelines for the Management of Patients with Intracranial Cavernous Malformations | |
Natural History and Rationale for Treatment with Stereotactic Radiosurgery | |
Stereotactic Radiosurgery with or without Embolization for Intracranial Dural Arteriovenous Fistulas | |
The Stockholm Experience | |
Multistaged Volumetric Management of Large Arteriovenous Malformations | |
Endovascular Embolization in Combination with Radiosurgery for Treatment of Arteriovenous Malformations | |
Stereotactic Radiosurgery after Embolization for Arteriovenous Malformations | |
LongTerm Side Effects of Radiosurgery for Arteriovenous Malformations | |
Management of Adverse Radiation Effects after Radiosurgery for Arteriovenous Malformations | |
Morphological Observations in Brain Arteriovenous Malformations after Gamma Knife Radiosurgery | |
Stereotactic Radiosurgery Guidelines for the Management of Patients with Intracranial Dural Arteriovenous Fistulas | |
Author Index | |
Cover | |
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Common terms and phrases
adverse radiation effects aneurysms angiograms angiography artery associated AVM obliteration AVM patients AVM radiosurgery Basel Borden type Brain Vascular Malformations brainstem cavernoma cavernous malformations cerebral arteriovenous malformations clinical Cognard complete obliteration complications DAVFs dose planning draining vein dural arteriovenous fistulas embolization endovascular embolization epilepsy factors Flickinger JC follow-up Gamma Knife Radiosurgery gery GK SRS GKRS hemorrhage risk Int J Radiat intracranial arteriovenous malformations intracranial dural arteriovenous intracranial hemorrhage irradiation isodose Kano H Karger Kondziolka large AVMs Leksell lesions Lunsford LD eds Lunsford Niranjan magnetic resonance imaging margin dose median months natural history neurological deficits Neurosurg Neurosurgery obliteration rate Oncol Biol Phys outcome Pollock postradiosurgery prior hemorrhage Radiat Oncol Biol radiosurgery for arteriovenous Radiosurgery for Brain radiosurgical rebleeding reduce reported resection risk of hemorrhage seizures sinus Steiner stereotactic radiosurgery surgical symptomatic symptoms T2-weighted target volume therapy tion tissue treated underwent venous malformations vessels