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Overview
An arteriovenous malformation (AVM) is an
abnormal tangle of blood vessels in the brain or
spine. Some AVMs have no specific symptoms and
little or no risk to one’s life or health, while others
cause severe and devastating effects when they
bleed. Treatment options range from conservative
watching to aggressive surgery, depending on the
type, symptoms, and location of the AVM.
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Surgery Links
Using general anesthesia, a surgical opening is The Aneurysm & AVM Foundation
made in the skull, called a craniotomy. The brain is http://www.taafonline.org/
gently retracted so that the AVM may be located.
Using a variety of techniques, such as laser and AVM Awareness Project
electrocautery, the AVM is shrunken and dissected http://AVmalformation.org
from normal brain tissue. The length of stay in the
hospital varies between 5 to 7 days, with some
short-term rehabilitation. The type of craniotomy Glossary
performed depends on the size and location of the aneurysm: a bulge or weakening of an arterial
AVM. The option of surgery also depends on the wall.
general health of the patient. The advantage of arteriovenous fistula: an abnormal passage or
surgical treatment is that a cure is immediate if all opening between an artery and a vein.
the AVM is removed. Disadvantages include the risk arteriovenous malformation: abnormality of
of bleeding, damage to nearby brain tissue, and blood vessels where arteries shunt directly into
stroke to other areas of the brain once the AVM is veins with no intervening capillary bed.
removed. capillary telangiectasia: abnormal collection of
enlarged capillaries.
Clinical trials cavernous malformation: abnormal collection of
Clinical trials are research studies in which new blood vessels with no well defined feeding arteries
treatments—drugs, diagnostics, procedures, and or draining veins.
other therapies—are tested in people to see if they craniotomy: surgical opening in the skull.
are safe and effective. Research is always being dura mater: a tough, fibrous, protective covering
conducted to improve the standard of medical care. of the brain and spinal cord.
Information about current clinical trials, including embolization: blockage of a blood vessel so blood
eligibility, protocol, and locations, are found on the can no longer flow through it.
web. Studies can be sponsored by the National endovascular: occurring within the blood vessels.
Institutes of Health (see www.clinicaltrials.gov) as hemorrhage: bleeding in the brain, which may
well as private industry and pharmaceutical cause a stroke.
companies (see www.centerwatch.com). hydrocephalus: swelling in the brain due to a
blockage of cerebrospinal fluid.
Sources & links nidus: the central part of an AVM.
If you have more questions, please contact Mayfield occlusion: the process of closing.
Brain & Spine at 800-325-7787 or 513-221-1100. shunt: diversion of fluid (blood, CSF).
subarachnoid hemorrhage: bleeding in the space
Sources surrounding the brain; may cause a stroke.
1. Ogilvy CS, et al.: Recommendations for the venous malformation: abnormal tangle of veins.
Management of Intracranial Arteriovenous venous sinus: a blood filled channel that lacks
Malformations. Stroke 32: 1458-71, 2001. normal vessel walls.
2. Kano H et al: Stereotactic radiosurgery for
arteriovenous malformations, Part 1:
management of Spetzler-Martin Grade I and II
arteriovenous malformations. J Neurosurg
116:11-20, 2012.
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