Arteriovenous malformations of the brain. The options for management.

Arteriovenous malformations of the brain. The options for management.
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脑动静脉畸形。

DOI:
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发表时间:
1983
影响因子:
158.5
通讯作者:
C. G. Drake
C. G. Drake
中科院分区:
医学1区
文献类型:
--
作者:
C. G. Drake

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神经科医生、神经外科医生和其他治疗颅内动静脉畸形患者的医生一直在等待本期质子束治疗的报告。这种治疗的结果是复杂的。在这项研究中,由Kuberberg等人进行,在治疗后的第一年左右,对再出血没有保护作用。此外,此后病变完全消失(“清除”)的比率很低(20%)。然而,矛盾的是,与不完全的手术切除相反,任何残留的动静脉畸形仍然是危险的,质子治疗可能会提供一些保护,防止再出血,即使在......
The report on proton-beam therapy in this issue1 has been awaited by neurologists, neurosurgeons, and other physicians who care for patients with an intracranial arteriovenous malformation. The results of this treatment are complex. In this study, performed by Kjellberg et al., no protection from rebleeding was conferred in the first year or so after treatment. Furthermore, the rate of total obliteration of the lesions ("wipe-out") thereafter was low (20 per cent). However, paradoxically and in contrast to incomplete surgical excision, in which any residual arteriovenous malformation remains dangerous, proton therapy may have conferred some protection from rebleeding even in the . . .