Gamma Knife radiosurgery for cerebral AVMs

  • B. Wowra


Apart from neurosurgery and endovascular embolization, radiosurgery is the third important therapeutic option for cerebral AVMs. Historically the use of radiosurgery has been restricted to the treatment of small AVMs inaccessible to surgery [136]. However during recent years, there has been a considerable change in the application of radiosurgery mainly due to the evolution of computer software and imaging technology. Although today a considerable proportion of AVM patients receive a combined treatment, a controversy is unsolved concerning the indication of radiosurgery especially for cases where radiosurgery could be used as an alternative to either microsurgery or embolization [9, 128, 135]. The reason for this unsolved debate is threefold: First, AVMs are very complex lesions involving many different factors defining the individual situation of a patient. Second, there is no general standard available for radiosurgery.


Gamma Knife Stereotactic Radiosurgery Venous Malformation Gamma Knife Radiosurgery Gamma Knife Surgery 
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© Springer-Verlag Wien 2002

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  • B. Wowra

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