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Ⅴ.脳動静脈奇形 - kkr-smc.com

320 V 1 arteriovenous malformation AVM trans nidal flow AVM nidus 3 AVM trans nidal flow 1 2 AVM 2 4 nidus AVM AVM 2 AVM 3 2001 Spetzler Martin grade 1 I, II II III II V eloquent area 4 AVM IR AVM 5 6 3 1 GTV 1 Spetzler-Martin AVMgrading scaleSize 0 3 >6 Location NoneloquentEloquentDeep venous drainageNot presentPresent1230101 321 MRI CT CT

良性疾患323 intracranial arteriovenous malformations:long-term results. J Neurosurg 78:413-422, 1993. 8)Yamamoto M, Jimbo M, Hara M, et al. Gamma knife radiosurgery

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Transcription of Ⅴ.脳動静脈奇形 - kkr-smc.com

1 320 V 1 arteriovenous malformation AVM trans nidal flow AVM nidus 3 AVM trans nidal flow 1 2 AVM 2 4 nidus AVM AVM 2 AVM 3 2001 Spetzler Martin grade 1 I, II II III II V eloquent area 4 AVM IR AVM 5 6 3 1 GTV 1 Spetzler-Martin AVMgrading scaleSize 0 3 >6 Location NoneloquentEloquentDeep venous drainageNot presentPresent1230101 321 MRI CT CT CTV PTV GTV 2 2 SM

2 1 AVM 1 PTV 20Gy 1 PTV PTV 28Gy 4 1 4 AVM 40 50Gy 20 7 16 20Gy 65 8 4 9 10 AVM 1 5 3 2 3 40 50 5 6 70 80 AVM 1 AVM 2138cGy 1950cGy PTV 322 AVM latency period 11 86% 12 AVM 5 2 3 40 10 20 8 10Gy 5 AVM 13 6 1 Taylor CL, Selman WR, Ratcheson RA.

3 Steal affecting the central nervous system. Neurosurgery 50: 679-688; discussion 688-689, Kataoka H, Miyamoto S, Nagata I, et al. Venous congestion is a major cause of neurological deterioration in spinal arteriovenous malformations. Neurosurgery 48 : 1224-1229; discussion 1229-1230, Pollock BE. Stereotactic radiosurgery for arteriovenous malformations. Neurosurg Clin N Am 10: 281-290, Ogilvy CS, Stieg PE, Awad I, et al. Recommendations for the management of intracranial arteriovenous malformations. A statement for healthcare professionals from a special writing group of the stroke council, American Stroke Association. Stroke 32: 1458-1471, The radiosurgery Guidelines Committee. Stereotactic radiosurgery for patients with intracranial arteriovenous malformations AVM , The IRSA International radiosurgery Association radiosurgery Practice Guideline Initiative.

4 Practice Guideline Report #2-03, IRSA, Harrisburg, PA, Sheehan J, Yen CP, Arkha Y, et al. Subtotal obliteration of cerebral arterio-venous malformations after gamma knife surgery. J Neurosurg 106: 361-369, Redekop GJ, Elisevich KV, Gaspar LE, et al. Conventional radiation therapy of 323intracranial arteriovenous malformations: long-term results. J Neurosurg 78 : 413-422, Yamamoto M, Jimbo M, Hara M, et al. Gamma knife radiosurgery for arteriovenous malformations: long-term follow-up results focusing on complications occurring more than 5 years after irradiation. Neurosurgery 38: 906-914, Seifert V, Stolke D, Mehdorn HM, et al. Clinical and radiological evaluation of long-term results of stereotactic proton beam radiosurgery in patients with cerebral arteriovenous malformations.

5 J Neurosurg 81: 683-689, Chapman PH, Thornton A, Ogilvy CS, et al. radiosurgery of large AVMs. J Neurosurg 82: 1095-1097, Maruyama K, Kawahara N, Shin M, et al. The risk of hemorrhage after radiosurgery for cerebral arteriovenous malformations. N Engl J Med 13 ; 352: 146-153, Maruyama K, Shin M, Tago M, et al. radiosurgery to reduce the risk of first hemorrhage from brain arteriovenous malformations. Neurosurgery 60 : 453-458, 2007; discussion Kaido T, Uemura H, Hirao Y, et al. radiosurgery -induced brain tumor. Case report. J Neurosurg 95: 710-713, Levy RP, Fabrikant JI, Frankel KA, et al. Stereotactic heavy-charged-particle Bragg peak radiosurgery for the treatment of intracranial arteriovenous malformations in childhood and adolescence. Result. Neurosurg 24: 841 852, 1989.

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