Contents:

Cranial vascular anatomy and implications

Spinal vascular anatomy and implications

Physiology and hemodynamics of arteriovenous

Natural history of arteriovenous malformations

Evaluation and treatment

Intraoperative evaluation of blood flow

Medical endovascular

malformations

malformations and fistulae

indications

arteriovenous malformations

Surgical approaches to

Surgical approaches and nuances for arteriovenous

Surgical management of cerebral dural

Surgery of spinal arteriovenous malformations

Surgery of basal ganglia thalamic and brainstem

and fistulae

malformations

malformations

special considerations

malformations

A note on the ARUBA trial

Vascular malformations of the brain and spine pose many management challenges. This text provides a comprehensive, state-of-the-art review of the natural history, treatment options, and outcomes of patients with these conditions. Despite their relative rarity, these lesions are responsible for devastating injury to individuals and can cause an enduring physical, psychological, and economic burden on patients and families. Many new therapeutic options are now available with the advent of novel surgical, endovascular, and radiosurgical techniques. The basic sciences have fuelled development of small molecule and biologic therapies targeting the molecular basis of disease. Authored by international experts in the fields of neurosurgery, neurology, radiology, and radiation oncology, this book provides state-of-the-art treatment plans and discussions of ideal therapy. This text is aimed at practitioners in the fields of neurology, neurosurgery, neuroradiology, radiation oncology, rehabilitation medicine and allied fields who care for patients with brain and spinal vascular malformations. Common terms and phrases: AJNR anastomoses anatomy aneurysms angiography anterior spinal artery anteroposterior approach arterial supply arteriovenous malformations AVM arteriovenous shunts associated AVFs AVM nidus brain arteriovenous malformations brain AVMs brainstem branches carotid artery cerebral arteriovenous malformations cistern clinical cortical venous drainage cranial nerves craniotomy DAVFs demonstrated draining veins dura dural arteriovenous fistulas embolization endovascular treatment evaluation external carotid factors feeding arteries follow-up hemodynamic ICG videoangiography imaging infratentorial injection internal carotid artery intracranial arteriovenous malformations intramedullary intraoperative lateral lesions medial meningeal artery microsurgical middle meningeal artery midline monitoring morbidity natural history Neurol neurological deficits Neuroradiol Neurosurg Neurosurgery occipital Onyx outcomes patients with AVMs pedicles pial posterior fossa postoperative preoperative pressure risk of hemorrhage rupture segment Spetzler RF Spetzler–Martin grade spinal arteriovenous spinal artery spinal AVMs spinal cord spine stereotactic radiosurgery Stroke surgery surgical resection symptoms tissue vascular malformations venous hypertension vertebral artery vessels