The diagnosis and management of brain arteriovenous malformations

Neurol Clin. 2013 Aug;31(3):749-63. doi: 10.1016/j.ncl.2013.03.003. Epub 2013 Apr 17.

Abstract

Although uncommon in the general population, cerebral arteriovenous malformations (AVMs) can pose a significant health risk if a rupture occurs. Advances in noninvasive imaging have led to an increase in the identification of unruptured AVMs, presenting new challenges in management, given their poorly understood natural history. Over the past decade, there have been significant developments in the management and treatment of intracranial AVMs. This article discusses the pathophysiology, natural history, clinical presentations, and current treatment options, including multimodal approaches, for these vascular malformations.

Keywords: AVM treatment; Arteriovenous malformations; Embolization; Radiosurgery; Surgical resection.

Publication types

  • Review

MeSH terms

  • Brain / pathology
  • Cerebral Angiography
  • Endovascular Procedures
  • Hemorrhage / etiology
  • Hemorrhage / therapy
  • Humans
  • Intracranial Arteriovenous Malformations / complications
  • Intracranial Arteriovenous Malformations / diagnosis*
  • Intracranial Arteriovenous Malformations / therapy*
  • Magnetic Resonance Imaging
  • Seizures / etiology
  • Seizures / therapy