Indications for surgical treatment of arteriovenous malformations
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Nakaji, P
[1
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Spetzler, RF
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St Josephs Hosp, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USASt Josephs Hosp, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
Spetzler, RF
[1
]
机构:
[1] St Josephs Hosp, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
The complexity of arteriovenous malformations (AVMs) of the brain varies widely. In general, Spetzler-Martin grades I through III AVMs or those with certain high-risk features should be treated; grades IV through V AVMs often are best managed conservatively. The exact treatment strategy for any individual lesion should be formulated by a multidisciplinary team that includes experts in microsurgery endovascular surgery, and radiosurgery. Multimodal treatment is common. Microsurgical removal remains the definitive form of treatment.