Arteriovenous Malformations in the Pediatric Population: Review of the Existing Literature

Authors

Mohammad El-Ghanem, Department of Neurology, Pennsylvania State University, Hershey, Pa, N.Y., USA.
Tareq Kass-Hout, Rochester Regional HealthFollow
Omar Kass-Hout, Department of Neurology, Emory University School of Medicine, Atlanta, Va, N.Y., USA.
Yazan J. Alderazi, Department of Neurosurgery and Neuroscience, Rutgers University School of Medicine, Newark, N.J, N.Y., USA.
Krishna Amuluru, Department of Neurosurgery and Neuroscience, Rutgers University School of Medicine, Newark, N.J, N.Y., USA.
Fawaz Al-Mufti, Department of Neurosurgery and Neuroscience, Rutgers University School of Medicine, Newark, N.J, N.Y., USA.
Charles J. Prestigiacomo, Department of Neurosurgery and Neuroscience, Rutgers University School of Medicine, Newark, N.J, N.Y., USA.
Chirag D. Gandhi, Department of Neurosurgery and Neuroscience, Rutgers University School of Medicine, Newark, N.J, N.Y., USA.

Department

Surgery

Document Type

Article

Publication Title

Interventional neurology

Abstract

Arteriovenous malformations (AVMs) in the pediatric population are relatively rare but reportedly carry a higher rate of rupture than in adults. This could be due to the fact that most pediatric AVMs are only detected after rupture. We aimed to review the current literature regarding the natural history and the clinical outcome after multimodality AVM treatment in the pediatric population, as optimal management for pediatric AVMs remains controversial. A multidisciplinary approach using multimodality therapy if needed has been proved to be beneficial in approaching these lesions in all age groups. Microsurgical resection remains the gold standard for the treatment of all accessible pediatric AVMs. Embolization and radiosurgery should be considered as an adjunctive therapy. Embolization provides a useful adjunct therapy to microsurgery by preventing significant blood loss and to radiosurgery by decreasing the volume of the AVM. Radiosurgery has been described to provide an alternative treatment approach in certain circumstances either as a primary or adjuvant therapy.

First Page

218

Last Page

225

DOI

10.1159/000447605

Volume

5

Issue

3-4

Publication Date

10-27-2016

PubMed ID

27781052

Recommended Citation

El-Ghanem, M., Kass-Hout, T., Kass-Hout, O., Alderazi, Y. J., Amuluru, K., Al-Mufti, F., Prestigiacomo, C. J., & Gandhi, C. D. (2016). Arteriovenous Malformations in the Pediatric Population: Review of the Existing Literature. Interventional neurology, 5 (3-4), 218-225. https://doi.org/10.1159/000447605