Skip to main content
Top
Published in: Acta Neurochirurgica 8/2017

01-08-2017 | Editorial (by Invitation)

To treat or not to treat brain AVMs—that’s still the question

Author: Torstein R. Meling

Published in: Acta Neurochirurgica | Issue 8/2017

Login to get access

Excerpt

Treatment of any disease is a balancing act among many factors, where the risk of no treatment (i.e., the natural history) versus the risk of treatment is among the most important. Although the two are separate entities, they often become intertwined and in many ways inseparable. …
Literature
1.
go back to reference Bendok BR, El Tecle NE, El Ahmadieh TY, Koht A, Gallagher TA, Carroll TJ, Markl M, Sabbagha R, Sabbagha A, Cella D, Nowinski C, Dewald JP, Meade TJ, Samson D, Batjer HH (2014) Advances and innovations in brain arteriovenous malformation surgery. Neurosurgery 74(Suppl 1):S60–S73. doi:10.1227/NEU.0000000000000230 CrossRefPubMed Bendok BR, El Tecle NE, El Ahmadieh TY, Koht A, Gallagher TA, Carroll TJ, Markl M, Sabbagha R, Sabbagha A, Cella D, Nowinski C, Dewald JP, Meade TJ, Samson D, Batjer HH (2014) Advances and innovations in brain arteriovenous malformation surgery. Neurosurgery 74(Suppl 1):S60–S73. doi:10.​1227/​NEU.​0000000000000230​ CrossRefPubMed
2.
go back to reference Bervini D, Morgan MK, Ritson EA, Heller G (2014) Surgery for unruptured arteriovenous malformations of the brain is better than conservative management for selected cases: a prospective cohort study. J Neurosurg 121:878–890. doi:10.3171/2014.7.JNS132691 CrossRefPubMed Bervini D, Morgan MK, Ritson EA, Heller G (2014) Surgery for unruptured arteriovenous malformations of the brain is better than conservative management for selected cases: a prospective cohort study. J Neurosurg 121:878–890. doi:10.​3171/​2014.​7.​JNS132691 CrossRefPubMed
3.
go back to reference Cenzato M, Boccardi E, Beghi E, Vajkoczy P, Szikora I, Motti E, Regli L, Raabe A, Eliava S, Gruber A, Meling TR, Niemela M, Pasqualin A, Golanov A, Karlsson B, Kemeny A, Liscak R, Lippitz B, Radatz M, La Camera A, Chapot R, Islak C, Spelle L, Debernardi A, Agostoni E, Revay M, Morgan MK (2017) European consensus conference on unruptured brain AVMs treatment (supported by EANS, ESMINT, EGKS, and SINCH). Acta Neurochir. doi:10.1007/s00701-017-3154-8 Cenzato M, Boccardi E, Beghi E, Vajkoczy P, Szikora I, Motti E, Regli L, Raabe A, Eliava S, Gruber A, Meling TR, Niemela M, Pasqualin A, Golanov A, Karlsson B, Kemeny A, Liscak R, Lippitz B, Radatz M, La Camera A, Chapot R, Islak C, Spelle L, Debernardi A, Agostoni E, Revay M, Morgan MK (2017) European consensus conference on unruptured brain AVMs treatment (supported by EANS, ESMINT, EGKS, and SINCH). Acta Neurochir. doi:10.​1007/​s00701-017-3154-8
4.
go back to reference Crawford PM, West CR, Chadwick DW, Shaw MD (1986) Arteriovenous malformations of the brain: natural history in unoperated patients. J Neurol Neurosurg Psychiatry 49:1–10CrossRefPubMedPubMedCentral Crawford PM, West CR, Chadwick DW, Shaw MD (1986) Arteriovenous malformations of the brain: natural history in unoperated patients. J Neurol Neurosurg Psychiatry 49:1–10CrossRefPubMedPubMedCentral
6.
go back to reference Dandy W (1928) Venous abnormalities and angiomas of the brain. Arch Surg 17:715–793CrossRef Dandy W (1928) Venous abnormalities and angiomas of the brain. Arch Surg 17:715–793CrossRef
11.
13.
go back to reference Mohr JP, Parides MK, Stapf C, Moquete E, Moy CS, Overbey JR, Al-Shahi Salman R, Vicaut E, Young WL, Houdart E, Cordonnier C, Stefani MA, Hartmann A, von Kummer R, Biondi A, Berkefeld J, Klijn CJ, Harkness K, Libman R, Barreau X, Moskowitz AJ, international Ai (2014) Medical management with or without interventional therapy for unruptured brain arteriovenous malformations (ARUBA): a multicentre, non-blinded, randomised trial. Lancet 383:614–621 doi:10.1016/S0140-6736(13)62302-8 Mohr JP, Parides MK, Stapf C, Moquete E, Moy CS, Overbey JR, Al-Shahi Salman R, Vicaut E, Young WL, Houdart E, Cordonnier C, Stefani MA, Hartmann A, von Kummer R, Biondi A, Berkefeld J, Klijn CJ, Harkness K, Libman R, Barreau X, Moskowitz AJ, international Ai (2014) Medical management with or without interventional therapy for unruptured brain arteriovenous malformations (ARUBA): a multicentre, non-blinded, randomised trial. Lancet 383:614–621 doi:10.​1016/​S0140-6736(13)62302-8
14.
go back to reference Morgan MK DA, Assaad NNA, Stoodley MA (2017) Critical review of brain AVM surgery, surgical results and natural history in 2017. Acta Neurochir (in press) Morgan MK DA, Assaad NNA, Stoodley MA (2017) Critical review of brain AVM surgery, surgical results and natural history in 2017. Acta Neurochir (in press)
20.
go back to reference Steiger HJ, Fischer I, Rohn B, Turowski B, Etminan N, Hanggi D (2015) Microsurgical resection of Spetzler-Martin grades 1 and 2 unruptured brain arteriovenous malformations results in lower long-term morbidity and loss of quality-adjusted life-years (QALY) than conservative management--results of a single group series. Acta Neurochir 157:1279–1287. doi:10.1007/s00701-015-2474-9 CrossRefPubMed Steiger HJ, Fischer I, Rohn B, Turowski B, Etminan N, Hanggi D (2015) Microsurgical resection of Spetzler-Martin grades 1 and 2 unruptured brain arteriovenous malformations results in lower long-term morbidity and loss of quality-adjusted life-years (QALY) than conservative management--results of a single group series. Acta Neurochir 157:1279–1287. doi:10.​1007/​s00701-015-2474-9 CrossRefPubMed
21.
go back to reference van Beijnum J, van der Worp HB, Buis DR, Al-Shahi Salman R, Kappelle LJ, Rinkel GJ, van der Sprenkel JW, Vandertop WP, Algra A, Klijn CJ (2011) Treatment of brain arteriovenous malformations: a systematic review and meta-analysis. JAMA 306:2011–2019. doi:10.1001/jama.2011.1632 CrossRefPubMed van Beijnum J, van der Worp HB, Buis DR, Al-Shahi Salman R, Kappelle LJ, Rinkel GJ, van der Sprenkel JW, Vandertop WP, Algra A, Klijn CJ (2011) Treatment of brain arteriovenous malformations: a systematic review and meta-analysis. JAMA 306:2011–2019. doi:10.​1001/​jama.​2011.​1632 CrossRefPubMed
22.
go back to reference von Luschka H (1855) Die Adergeflechte des menschlichen Gehirnes: eine Monographie. G. Reimer von Luschka H (1855) Die Adergeflechte des menschlichen Gehirnes: eine Monographie. G. Reimer
23.
go back to reference Yasargil MG (1987) Microneurosurgery: Thieme classics. Thieme Medical Publishers, New York Yasargil MG (1987) Microneurosurgery: Thieme classics. Thieme Medical Publishers, New York
Metadata
Title
To treat or not to treat brain AVMs—that’s still the question
Author
Torstein R. Meling
Publication date
01-08-2017
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 8/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3219-8

Other articles of this Issue 8/2017

Acta Neurochirurgica 8/2017 Go to the issue