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      Surgery for Unruptured Spetzler-Martin Grade 3 Brain Arteriovenous Malformations : A Prospective Surgical Cohort

      Author(s): , ,
      Publication date (Print):
      Journal: Neurosurgery
      Publisher: Ovid Technologies (Wolters Kluwer Health)

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          Abstract

          There is uncertainty regarding the management of unruptured Spetzler-Martin grade 3 brain arteriovenous malformations (SMG3 ubAVM).

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          A proposed grading system for arteriovenous malformations.

          R Spetzler, N. Martin (1986)
          An important factor in making a recommendation for treatment of a patient with arteriovenous malformation (AVM) is to estimate the risk of surgery for that patient. A simple, broadly applicable grading system that is designed to predict the risk of morbidity and mortality attending the operative treatment of specific AVM's is proposed. The lesion is graded on the basis of size, pattern of venous drainage, and neurological eloquence of adjacent brain. All AVM's fall into one of six grades. Grade I malformations are small, superficial, and located in non-eloquent cortex; Grade V lesions are large, deep, and situated in neurologically critical areas; and Grade VI lesions are essentially inoperable AVM's. Retrospective application of this grading scheme to a series of surgically excised AVM's has demonstrated its correlation with the incidence of postoperative neurological complications. The application of a standardized grading scheme will enable a comparison of results between various clinical series and between different treatment techniques, and will assist in the process of management decision-making.
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            Medical management with or without interventional therapy for unruptured brain arteriovenous malformations (ARUBA): a multicentre, non-blinded, randomised trial.

            J. Mohr, Michael K Parides, Christian Stapf … (2014)
            The clinical benefit of preventive eradication of unruptured brain arteriovenous malformations remains uncertain. A Randomised trial of Unruptured Brain Arteriovenous malformations (ARUBA) aims to compare the risk of death and symptomatic stroke in patients with an unruptured brain arteriovenous malformation who are allocated to either medical management alone or medical management with interventional therapy.
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              A supplementary grading scale for selecting patients with brain arteriovenous malformations for surgery.

              Michael Lawton, Helen Kim, Charles E McCulloch … (2010)
              Patient age, hemorrhagic presentation, nidal diffuseness, and deep perforating artery supply are important factors when selecting patients with brain arteriovenous malformations (AVMs) for surgery.
              Article 0 comments Cited 87 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Title: Neurosurgery
                Abbreviated Title: Neurosurgery
                Publisher: Ovid Technologies (Wolters Kluwer Health)
                ISSN (Print): 0148-396X
                Publication date Created: 2015
                Publication date (Print): September 2015
                Volume: 77
                Issue: 3
                Pages: 362-370
                Article
                DOI: 10.1227/NEU.0000000000000774
                PubMed ID: 25860430
                SO-VID: a03df153-6d74-4a8c-9a7b-5f1c17a369a2
                Copyright © © 2015
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