Stereotactic radiosurgery with the linear accelerator: treatment of arteriovenous malformations.

Abstract:

:An original stereotactic radiosurgical approach coupling a) Talairach's stereotactic methodology, b) a specially devised mechanical system, and c) a linear accelerator is detailed. The authors present their preliminary results on 66 patients with nonsurgical intracranial arteriovenous malformations. The doses delivered for treatment varied from 20 to 70 Gy. Doses of no more than 40 Gy were used in 80% of patients. An angiographic study was performed when the computed tomographic scan controls showed relevant modifications of the lesion volume. Total obliteration was obtained in 27 of the 41 patients (65.8%) who were followed up for at least 24 months. The percentage of the cured patients is significantly higher when a) the entire malformation is included in the 75% isodose (96%) and b) the maximum diameter of the lesion is less than 12 mm (81%). Two patients died of rebleeding at 18 and 29 months after treatment.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Betti OO,Munari C,Rosler R

doi

10.1227/00006123-198903000-00001

subject

Has Abstract

pub_date

1989-03-01 00:00:00

pages

311-21

issue

3

eissn

0148-396X

issn

1524-4040

journal_volume

24

pub_type

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