Document Detail


Linear accelerator radiosurgery for arteriovenous malformations.
MedLine Citation:
PMID:  1432123     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between May, 1988, and August, 1991, 80 patients with arteriovenous malformations (AVM's) were treated radiosurgically at the University of Florida. A mean dose of 1650 cGy was directed to the periphery of the lesion, which almost always corresponded to the 80% isodose line. The mean lesion diameter was 23 mm. Seventy-six patients were treated with one isocenter. Angiography, performed at 1 year after radiosurgery in 41 of the 48 eligible patients, revealed an overall complete thrombosis rate of 39%. The 1-year thrombosis rate was highest in those patients with relatively small AVM's. Angiography was performed at 2 years posttreatment in 21 of the 25 eligible patients, demonstrating an overall complete thrombosis rate of 81%. This incidence did not correlate with lesion size: that is, large lesions (up to 35 mm in diameter) seemed just as likely to thrombose. Two patients (2.5%) experienced hemorrhage at some time after radiosurgical treatment, and both recovered. Two patients (2.5%) have sustained mild, but permanent, radiation-induced neurological complications.
Authors:
W A Friedman; F J Bova
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  77     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1992-12-17     Completed Date:  1992-12-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  832-41     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurosurgery, University of Florida, Gainesville.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Brain / pathology
Brain Edema / etiology
Cerebral Angiography
Cerebral Hemorrhage / etiology
Female
Follow-Up Studies
Humans
Hydrocephalus / etiology
Intracranial Arteriovenous Malformations / radiography,  surgery*
Intracranial Embolism and Thrombosis / diagnosis,  etiology
Magnetic Resonance Imaging
Male
Middle Aged
Necrosis
Radiation Injuries / diagnosis,  etiology
Radiosurgery* / adverse effects
Recurrence

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


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