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The Role of Microsurgical Resection and Radiosurgery for Cerebral Arteriovenous Malformations
Authors:Joseph Serrone  Mario Zuccarello
Affiliation:aUniversity of Cincinnati College of Medicine, Cincinnati, Ohio;bUniversity of Cincinnati Neuroscience Institute, Cincinnati, Ohio;cMayfield Clinic, Cincinnati, Ohio
Abstract:Cerebral arteriovenous malformations (AVMs) present unique challenges to cerebrovascular specialists. Management of these lesions begins with assessing their natural history. Intervention with the goal of complete obliteration requires some component of microsurgical techniques or radiosurgery. Clinicians must weigh observation and acceptance of the natural history of these lesions versus intervention on a case-by-case basis. Microsurgical resection and radiosurgery are both well-validated tools used in selectively treating cerebral AVMs. This manuscript offers a general review of the management of cerebral AVMs with multimodality treatment recommendations.
Keywords:arteriovenous malformation   radiosurgery   microsurgical resection   embolization
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