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By Univ.-Prof. Dr. Hans-Jakob Steiger, Priv.-Doz. Dr. Robert Schmid-Elsaesser, Dr. Alexander Muacevic, Univ.-Prof. Dr. Hartmut Brückmann, Priv.-Doz. Dr. Berndt Wowra (auth.)

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Extra resources for Neurosurgery of Arteriovenous Malformations and Fistulas: A Multimodal Approach

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106. 107. tical venous drainagel. Rev Neurol Paris 132:169181 Chandler Jr HC, Friedman WA (1993) Successful radiosurgical treatment of a dural arteriovenous malformation: case report. Neurosurgery 33:139-141 Chang JH, Chang JW, Park YG, Chung SS (2000) Factors related to complete occlusion of arteriovenous malformations after gamma knife radiosurgery. J Neurosurg 93 [Suppl] 3:96-101 Chang SD, Murphy M, Geis P, Martin DP, Hancock SL, Doty JR, Adler Jr JR (1998) Clinical experience with image-guided robotic radiosurgery (the Cyberknife) in the treatment of brain and spinal cord tumors.

Abdulrauf SI, Malik GM, Awad IA (1999) Spon2. 3. 4. 5. 6. 7. 8. 9. taneous angiographic obliteration of cerebral arteriovenous malformations. Neurosurgery 44:280-287 Adelt D, BrOckmann H, Krenkel W, Hacke W, Zeumer H (1988) Combined neuroradiological and neurosurgical treatment of intracerebral arteriovenous malformations. J Neurol 235:355-358 Adler Jr JR, Chang SD, Murphy MJ, Doty J, Geis P, Hancock SL (1997) The Cyberknife: a frameless robotic system for radiosurgery. Stereotact Funct Neurosurg 69:124-128 Afshar JK, Doppman JL, Oldfield EH (1995) Surgical interruption of intradural draining vein as curative treatment of spinal dural arteriovenous fistulas.

Patients' symptoms improved following 15 of these procedures but early improvement was not sustained in 10 instances. 26 Follow-up angiography was performed at varying intervals after 15 of the 18 procedures, and recanalization of the previously obliterated fistula was demonstrated in 13 instances. The average time to treatment failure was 5 months. The authors concluded, while embolization may allow angiographic obliteration of a Type I dAVF and early clinical improvement, for the majority of patients these are not sustained.

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