Management of cerebral arteriovenous malformations associated with symptomatic congestive intracranial hypertension.
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Management of cerebral arteriovenous malformations associated with symptomatic congestive intracranial hypertension. / Rosenkranz, Michael; Regelsberger, Jan; Zeumer, Hermann; Grzyska, Ulrich.
In: EUR NEUROL, Vol. 59, No. 1-2, 1-2, 2008, p. 62-66.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Management of cerebral arteriovenous malformations associated with symptomatic congestive intracranial hypertension.
AU - Rosenkranz, Michael
AU - Regelsberger, Jan
AU - Zeumer, Hermann
AU - Grzyska, Ulrich
PY - 2008
Y1 - 2008
N2 - We report on management strategies and clinical outcomes in 4 cases of acute symptomatic congestive intracranial hypertension associated with cerebral arteriovenous malformations (AVMs). Congestion resulted from high-volume shunts exhausting the drainage capacity of the cerebral venous system in 3 patients, and from sudden venous outflow obstruction in 1 patient. Two AVMs were suggested to be surgically accessible, whereas two AVMs were deemed to be inoperable. Surgically accessible AVMs were treated with embolization followed by complete surgical resection. Inoperable AVMs were treated with partial embolization. Both AVM embolization followed by surgical resection and partial AVM embolization effectively reduced intracranial pressure and achieved sustained patient recovery. Hence, an endovascular approach may be considered to manage AVM-related congestive intracranial hypertension either in combination with surgical AVM removal, or as a palliative approach in inoperable AVMs.
AB - We report on management strategies and clinical outcomes in 4 cases of acute symptomatic congestive intracranial hypertension associated with cerebral arteriovenous malformations (AVMs). Congestion resulted from high-volume shunts exhausting the drainage capacity of the cerebral venous system in 3 patients, and from sudden venous outflow obstruction in 1 patient. Two AVMs were suggested to be surgically accessible, whereas two AVMs were deemed to be inoperable. Surgically accessible AVMs were treated with embolization followed by complete surgical resection. Inoperable AVMs were treated with partial embolization. Both AVM embolization followed by surgical resection and partial AVM embolization effectively reduced intracranial pressure and achieved sustained patient recovery. Hence, an endovascular approach may be considered to manage AVM-related congestive intracranial hypertension either in combination with surgical AVM removal, or as a palliative approach in inoperable AVMs.
M3 - SCORING: Zeitschriftenaufsatz
VL - 59
SP - 62
EP - 66
JO - EUR NEUROL
JF - EUR NEUROL
SN - 0014-3022
IS - 1-2
M1 - 1-2
ER -
