Document Detail

Hyperbaric oxygen therapy for treatment of adverse radiation effects after stereotactic radiosurgery of arteriovenous malformations: case report and review of literature.
MedLine Citation:
PMID:  18786715     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Adverse radiation effects are a known complication after the use of SRS for AVMs, although it is difficult to predict which patients will manifest with these side effects. Treatment of swelling due to ARE is usually medical, but refractory cases may require surgical decompression. CASE DESCRIPTION: This report presents a case of a patient who experienced AREs after SRS (edema, headaches, and nausea) that failed to respond to steroid treatment but was successfully treated with HBO. The treatment characteristics of this and of 5 other cases of radiation injury after SRS for AVM managed with HBO therapy are reviewed, and the pathophysiology is discussed. CONCLUSION: Hyperbaric oxygen therapy provides a therapeutic option to treat AREs following SRS of cerebral AVMs.
John E Wanebo; Grant A Kidd; Michael C King; Thomas S Chung
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2008-09-11
Journal Detail:
Title:  Surgical neurology     Volume:  72     ISSN:  1879-3339     ISO Abbreviation:  Surg Neurol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-17     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  162-7; discussion 167-8     Citation Subset:  IM    
Department of Neurosciences, Naval Medical Center San Diego, San Diego, CA, USA.
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MeSH Terms
Brain / pathology,  radiation effects*
Brain Edema / etiology
Hyperbaric Oxygenation*
Intracranial Arteriovenous Malformations / diagnosis,  surgery*
Intracranial Pressure
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Nausea / etiology
Necrosis / etiology
Radiation Injuries / diagnosis,  etiology*,  physiopathology,  therapy*
Radiosurgery / adverse effects*
Tomography, X-Ray Computed
Treatment Outcome
Vomiting / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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