Pediatric Arteriovenous Malformation: University of Toronto Experience Using Stereotactic Radiosurgery
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Introduction And Background: Arteriovenous malformations (AVMs) are congenital vascular lesions of the brain, which behave differently in pediatric population compared to adults. Treatment of pediatric AVMs includes a combination of microsurgery, embolization and radiation therapies. However, the role of radiosurgery in the treatment of pediatric AVMs is not fully accepted because of concerns regarding the long-term effects of radiation on the pediatric brain.
Discussion: In this study, we review our experience at the University of Toronto with treating pediatric AVMs using linear accelerator-based (LINAC) radiosurgery over the past 15 years. We report our results, obliteration rates, and complications on a total of 40 patients. In addition, we provide a review of series published to date combined with our own results to determine whether radiosurgery is a safe and reasonable treatment modality for pediatric AVMs.
Murphy E, Sahgal A, Regis J, Levivier M, Fariselli L, Gorgulho A Neuro Oncol. 2024; 27(2):517-532.
PMID: 39390948 PMC: 11812027. DOI: 10.1093/neuonc/noae204.