Cited by 100Vascular Malformations Diagnosis and TreatmentVascular Malformations and HemangiomasVascular Anomalies and Treatments

The DOI matches its Crossref record.

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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Crossref · 10.1227/00006123-198906000-00009

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  • Ionizing radiation can damage the CNS, causing changes to cognitive function, inducing fatigue, and generating performance decrements.

    “Ionizing radiation can damage the CNS, causing changes to cognitive function, inducing fatigue, and generating performance decrements [2,30,42,43,44,45,46,47,48,49,50,51].”

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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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