1. Pediatric arteriovenous malformation: University of Toronto experience using stereotactic radiosurgery.
- Author
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Zadeh G, Andrade-Souza YM, Tsao MN, Scora D, Armstrong D, Humphreys R, Rutka J, Drake J, Dirks P, and Schwartz ML
- Subjects
- Adolescent, Adult, Canada, Child, Child, Preschool, Female, Humans, Male, Microsurgery, Retrospective Studies, Treatment Outcome, Arteriovenous Malformations surgery, Hospitals, University, Pediatrics, Radiosurgery methods
- Abstract
Introduction and Background: Arteriovenous malformations (AVMs) are congenital vascular lesions of the brain, which behave differently in pediatric population compared to adults. Treatment of pediatric AVMs includes a combination of microsurgery, embolization and radiation therapies. However, the role of radiosurgery in the treatment of pediatric AVMs is not fully accepted because of concerns regarding the long-term effects of radiation on the pediatric brain., Discussion: In this study, we review our experience at the University of Toronto with treating pediatric AVMs using linear accelerator-based (LINAC) radiosurgery over the past 15 years. We report our results, obliteration rates, and complications on a total of 40 patients. In addition, we provide a review of series published to date combined with our own results to determine whether radiosurgery is a safe and reasonable treatment modality for pediatric AVMs.
- Published
- 2007
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