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J Neurol Surg A Cent Eur Neurosurg 2012; 73(05): 307-319
DOI: 10.1055/s-0032-1315791
Review
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Arteriovenous Malformations Related to Spetzler–Martin Grading System

Tamer Altay
1   Department of Neurosurgery, University of Utah, Salt Lake City, Utah, United States
› Author Affiliations
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Publication History

16 December 2011

27 January 2012

Publication Date:
07 July 2012 (online)

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Abstract

Advanced technology and improved understanding of the natural history of arteriovenous malformations (AVMs) led to the reconsideration of the management of these lesions, which once comprised purely microsurgical removal. A multidisciplinary approach for both the evaluation and treatment of AVMs has gained acceptance within the past few decades. Treatment options for AVMs include surgical resection, embolization, or stereotactic radiosurgery, or any combination of these procedures. The risk of a chosen management strategy must include the sum of the risk of all the interventions applied to a given lesion, and this should be compared with the natural history of a given lesion in a particular clinical setting. Among all components of the multimodality treatment, however, microsurgical removal remains the definitive form of treatment.

Keywords

arteriovenous malformation - multimodality treatment - microsurgery - embolization - stereotactic radiosurgery
 

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