Focusing on both the patient’s perspective and the neurosurgeon’s concerns, Intracranial Arteriovenous Malformations: Essentials for Patients and Practitioners, edited by leading experts Drs. Philip E. Stieg, Alexander A. Khalessi, and Michael L. J. Apuzzo, starts with an up-to-date approach to the matter of doctor-patient communication and moves on to the highly technical details of AVM treatment options. The first section covers communication with patients (who may well want to read it themselves); the second section is directed to neurosurgeons and other specialists caring for patients with intracranial AVMs, including those in emergency medicine, obstetrics, anesthesia, and intensive care. It offers a highly sophisticated but readable approach to the contemporary treatment of these challenging lesions.
Key Features
Provides expert guidance on diagnosis, histopathology, natural history, anatomy, imaging, and treatment options and their risks and benefits—all with the goal of helping patients make informed decisions about the optimal management choices for their own individual cases.
Facilitates articulate, data-driven discussion and regarding the clinical diagnosis and surgical procedures involved in treating AVMs.
Addresses specific, difficult issues that arise during the treatment of AVMs, offering real-world advice to neurosurgeons and other care providers.
Includes key pearls in every chapter, as well as stunning anatomical illustrations throughout.
An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
Author Information
Edited by Philip E. Stieg, PhD, MD, Chair, Neurological Surgery, NewYork-Presbyterian/Weill Cornell Medical Center, Professor of Neurosurgery, Weill Cornell Medical College, New York, New York; Alexander Khalessi, MD, MBA, Chair, Neurological Surgery, UC San Diego Health, Professor of Surgery, Radiology and Neurosciences, UC San Diego School of Medicine, San Diego, California and Michael L. J. Apuzzo, MD, Adjunct Professor of Neurological Surgery, Weill Cornell Medical College, New York, New York, and Distinguished Adjunct Professor, Department of Neurosurgery, Yale School of Medicine, New Haven, Connecticut
Table Of Contentsi. Acknowledgements
ii. Preface
iii. Foreword
1 Anatomy and Histology of Intracranial AVMs
2 Pathology and Genetics
3 Radiographic Anatomy: CT/MRI/Angiography and Risks
4 Molecular Biology
4 MRI Neurovascular Evaluation: Blood Flow, Perfusion, Diffusion, and Susceptibility
5 Natural History of Intracranial AVMs
6 Aneurysms Associated with Intracranial AVMs
7 Hemodynamic Factors: Vascular Steal and Breakthrough Bleeding
8 Classification Systems
9 Seizures and Intracranial AVMs
10 Decision Analysis for Asymptomatic Lesions
11 Decision Analysis for Symptomatic Lesions
12 Decision Analysis for Associated Aneurysms
13 Surgical Principles: Techniques, Goals, and Outcomes
14 Radiosurgery Principals for AVM Management: Techniques, Goals, and Outcomes
15 Principles of Neuroendovascular Management of AVMs: Goals, Timing, Techniques, and Outcomes
16 Multimodal/Combined Therapy: Goals and Outcomes
17 Palliation Versus Observation: Nonresectable AVMs
18 Conservative Management (“Observation) of Intracranial AVMs
19 Grading Systems and Surgical Risks
20 Risks of Endovascular Treatment of iAVMs
21 Risks of Combined Therapies
22 Risks of Radiosurgery
23 Emergency Management of Ruptured Intracranial Arteriovenous Malformations
24 Medical Comorbidities in Elective Surgery
25 Anesthetic Management of Intracranial AVMs
26 Management of Perioperative Complications During iAVM Treatment
27 Intracranial AVMs and the Neurointensivist
28 Obstetric Considerations in AVM Management
29 Preoperative, Intraoperative, and Postoperative Imaging
30 Giant Intracranial AVMs
31 Treatment of Eloquent Cortex AVMs
32 Brain Stem and Posterior Fossa AVM’s
33 Corpus Collosal and Peri-Ventricular AVM’s
34 AVMs of the Sylvian Fissure
35 Pediatric AVMs
36 Residual AVMs
37 Intraoperative AVM Rupture
38 The Value of a Registry
39 Imaging Predictors for Rupture
40 Radiosurgical Innovations
41 Molecular Biology and Novel Treatments of Intracranial Arteriovenous Malformations
42 Surgical Innovations
iv. index and other frontmatter
