Focusing on both the patient's perspective and the neurosurgeon's concerns, Intracranial Arteriovenous Malformations: Essentials for Patients and Practitioners, edited by leading experts Drs. Philip E. Stieg, Alexander A. Khalessi, and Michael L. J. Apuzzo, starts with an up-to-date approach to the matter of doctor-patient communication and moves on to the highly technical details of AVM treatment options. The first section covers communication with patients (who may well want to read it themselves); the second section is directed to neurosurgeons and other specialists caring for patients with intracranial AVMs, including those in emergency medicine, obstetrics, anesthesia, and intensive care. It offers a highly sophisticated but readable approach to the contemporary treatment of these challenging lesions. - Provides expert guidance on diagnosis, histopathology, natural history, anatomy, imaging, and treatment options and their risks and benefits—all with the goal of helping patients make informed decisions about the optimal management choices for their own individual cases. - Facilitates articulate, data-driven discussion and regarding the clinical diagnosis and surgical procedures involved in treating AVMs. - Addresses specific, difficult issues that arise during the treatment of AVMs, offering real-world advice to neurosurgeons and other care providers. - Includes key pearls in every chapter, as well as stunning anatomical illustrations throughout.

The main aim of this study is to define the clinical criteria which must be considered in order to come to an adequate decision whether a patient with intracranial arteriovenous malformation (AVM) should be operated upon or treated conservatively. A special method was used to reduce the effects of selection. This method made it possible to evaluate the therapeutic efficacy of conservative treatment versus surgery. The method implies that patients with equal combinations of variables (risk profiles) were compared in the two treatment lines. The variables building up the risk-profile pattern were chosen by analysing the decision process, as it was originally practiced by the surgeon who selected and treated the patients of this study. The risk profiles thus described relevant characteristics of the patient and his malformation. The variables were assigned numerical values accord ing to their prognostic value. Summation of the variables making up the risk profile then gives each risk profile a certain value. A low value symbolizes a bad prognosis and a high value a good prognosis in both treatment groups. There were many risk profiles with the same value in both groups and a comparison could be made over a large part of the risk-profile scale. This comparison showed that surgical treatment of A VM can always be justified, although the indications for surgery are less strong in patients with low risk profile values.

This book describes the pathoanatomical, pathophysiological, and imaging features of vascular malformations and aneurysms of the brain and the modern, minimally invasive endovascular methods or techniques employed in their treatment. Individual chapters are devoted to venous malformations, capillary telangiectasias and cavernomas, pial arteriovenous malformations, dural arteriovenous malformations, and intracranial aneurysms. Each chapter is subdivided into four principal sections on pathology, clinical presentation, diagnostic imaging, and therapy, ensuring a standardized approach throughout. The book is richly illustrated with numerous informative CT, MR and DSA images.

This book reviews the natural course of arteriovenous malformation (AVM) disease and the active treatment modalities. These are compared with surgical and neuropsychological results achieved at the Military University Hospital, Prague, Czech Republic. Based on these comparisons, treatment recommendation for AVM is articulated. Furthermore, the long-term efficacy of different treatment is discussed. This book is written by an international group of European authors, and is aimed at neurovascular surgeons and neurosurgical residents.

Vascular malformations of the brain and spine pose many management challenges. This text provides a comprehensive, state-of-the-art review of the natural history, treatment options, and outcomes of patients with these conditions. Despite their relative rarity, these lesions are responsible for devastating injury to individuals and can cause an enduring physical, psychological, and economic burden on patients and families. Many new therapeutic options are now available with the advent of novel surgical, endovascular, and radiosurgical techniques. The basic sciences have fuelled development of small molecule and biologic therapies targeting the molecular basis of disease. Authored by international experts in the fields of neurosurgery, neurology, radiology, and radiation oncology, this book provides state-of-the-art treatment plans and discussions of ideal therapy. This text is aimed at practitioners in the fields of neurology, neurosurgery, neuroradiology, radiation oncology, rehabilitation medicine and allied fields who care for patients with brain and spinal vascular malformations.

Guest Editors Rafael J. Tamargo and Judy Huang have focused on “Cranial Arteriovenous Malformations (AVMs) and Dural Arteriovenous Fistulas (DAVFs) in this issue of Neurosurgery Clinics of North America. Articles in this issue include: Arteriovenous Malformations: Epidemiology and Clinical Presentation; Dural Arteriovenous Fistulas: Epidemiology and Clinical Presentation; Historical Perspective of Treatments of Arteriovenous Malformations and Dural Arteriovenous Fistulas; Imaging of Arteriovenous Malformations and Dural Arteriovenous Fistulas; Classification Schemes for Arteriovenous Malformations; Classification Schemes for Dural Arteriovenous Fistulas; Acute Management of Ruptured Arteriovenous Malformations and Dural Arteriovenous Fistulas; Selection of Treatment Modalities or Observation of Arteriovenous Malformations; Selection of Treatment Modalities or Observation of Dural Arteriovenous Malformations; Surgical Treatment of Cranial Arteriovenous Malformations and Dural Arteriovenous Fistulas; Anesthesia Considerations and Intraoperative Monitoring During Surgery for Arteriovenous Malformations and Dural Arteriovenous Fistulas; Stereotactic Radiosurgery of Cranial Arteriovenous Malformations and Dural Arteriovenous Fistulas; Endovascular Treatment of Cranial Arteriovenous Malformations and Dural Arteriovenous Malformations; Occlusive Hyperemia Versus Normal Perfusion Pressure Breakthrough after Treatment of Cranial Arteriovenous Malformations; Vein of Galen Malformations: Epidemiology, Clinical Presentation, and Management; Carotid Cavernous Fistulas: Epidemiology, Clinical Presentation, and Management.

An excellent summary of more than 30 years of accumulated experience Clinical outcomes of brain vascular malformation have been greatly improved by advances in microsurgery, endovascular techniques and stereotactic radiosurgery. Radiosurgery has proven to be the least invasive technique and is associated with documented long-term success. The papers in this volume present the experience of leading brain vascular malformation specialists who describe the outcome of radiosurgery for arteriovenous malformations, cavernous malformations and dural arteriovenous fistulas. These reviews expand the knowledge of the role of stereotactic radiosurgery alone or in combination with other treatment modalities. Evidence-based guidelines are included in each section to provide a summary of the current management strategies. This unique publication includes additional data that will further define the long-term benefit and risks of radiosurgery for these often complex vascular disorders and makes valuable reading for neurosurgeons, neurologists and endovascular specialists interested in an excellent summary of more than 30 years of accumulated experience in the management of brain vascular malformations.

Designed to meet the evolving needs of the practising spinal surgeon, this modern and definitive volume adopts a regional and technique-specific approach to surgical spinal stabilisation and spinal implants. Appropriate specialists offer a thorough appraisal of the theory of design of implants (including design contraints), and optional surgical procedures available to the surgeon are fully reviewed. Full procedural descriptions are accompanied by numerous illustrations and detailed discussion of the complications which can arise during treatment is included. Medico-legal and ethical issues are also appraised."