Finel E, Bourdais C, Vallée B, Régis J, Le Fur JM, de Parscau L. [Focalized multiple beam radiotherapy: an alternative in the treatment of deep cerebral arteriovenous malformations].
Arch Pediatr 1997;
4:140-3. [PMID:
9097824 DOI:
10.1016/s0929-693x(97)86157-x]
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Abstract
BACKGROUND
Cerebral arteriovenous malformations are usually treated by excision or selective embolization. Some untreatable malformations may be presently cured by radiosurgery.
CASE REPORT
A 10-year-old girl without previous illness suffered from a sudden quadriventricular hemorrhage due to arteriovenous malformation. Initially the child recovered with symptomatic treatment. Neurosurgery and arterial embolization being impossible, Gamma-Unit treatment was performed. Treatment was first well tolerated but 8 months later, left hemiparesis and language disorders occurred, due to radionecrosis. These complications were dramatically improved by corticosteroids.
CONCLUSION
Gamma-Unit treatment can be successfully proposed for treating those malformations that are inaccessible to surgery or embolization.
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