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Stereotactic Heavy-Charged-Particle Bragg Peak Radiosurgery for the Treatment of Intracranial Arteriovenous Malformations in Childhood and Adolescence
Abstract
Forty patients aged 6 to 18 years have now been treated for inoperable intracranial arteriovenous malformations (AVMs) using stereotactic heavy-charged-particle Bragg peak radiosurgery at the Lawrence Berkeley Laboratory 184-inch Synchrocyclotron at the University of California, Berkeley. This paper describes the procedures for selection of patients, the treatment protocol, and the neurological and neuroradiological responses to stereotactic radiosurgery in this age group. The volumes of the treated AVMs ranged from 265 mm3 to 60,000 mm3. The results are favorable: thus far, 20 of 25 patients have experienced greater than or equal to 50% obliteration of their AVMs within 1 year after treatment, and 14 of 18 patients have experienced total obliteration of the AVM by 2 years after treatment. Two patients hemorrhaged from radiosurgically treated AVMs within 12 months after treatment, but none thereafter. Complications include vasogenic edema and arterial occlusion; three patients have had neurological worsening as definite or possible sequelae of treatment. The strengths and limitations of the method are discussed.
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Abdelaziz, O. S., Chapman, P. H., & Loeffler, J. S. (1999) · Journal of Radiosurgery · doi:10.1023/a:1022916403056
“Another strategy is that the whole lesion is prescribed a modest dose and the response is watched; if it fails, another dose is given (i.e., salvage therapy after failure) (4, 7, 18 , 20).”
BackgroundPrinciples of Physics of Stereotactic Radiosurgery
Yu, C. (2003) · Medical radiology · doi:10.1007/978-3-642-56411-6_6
“Today, radiosurgery or therapy with particle beams plays a very important role in the management of various brain tumors and other diseases (Kjellberg et al. 1979, 1980, 1983, 1986, 1988; Lawrence 1985; Lyman et al. 1985, 1992; Levy et al. 1989, 1999; Slater et al. 1988; Steinberg et al. 1990).”
Background
Metadata
- Authors
- Levy, R. P., Fabrikant, J. I., Frankel, K. A., Phillips, M. H., & Lyman, J. T.
- Affiliations
- Lawrence Berkeley National Laboratory (US)
- Venue
- Neurosurgery
- Published
- 1989-06-01
- Volume
- 24
- Issue
- 6
- Pages
- 841-852
- ISSN
- 0148-396X (ISSN-L)
- 1524-4040
- OpenAlex
- W1998873528
- Cited by
- 98
- References
- 0
- Citations by year
- 2024: 2 · 2021: 1 · 2019: 1 · 2017: 1 · 2014: 3 · 2012: 3
- FWCI
- 8.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Vascular Malformations Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Vascular Malformations and Hemangiomas
- Health Sciences › Medicine › Genetics (clinical) › Vascular Anomalies and Treatments
- Keywords
- intracranial arteriovenous malformations, stereotactic radiosurgery, pediatric patients, adolescents, AVM obliteration, vasogenic edema, arterial occlusion, treatment complications
- MeSH terms
- Adolescent, Intracranial Arteriovenous Malformations, Cerebral Hemorrhage, Child, Female, Follow-Up Studies, Helium, Humans, Magnetic Resonance Imaging, Male, Prospective Studies, Radioisotopes, Radiotherapy Dosage, Radiotherapy Planning, Computer-Assisted, Stereotaxic Techniques
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