Abstract
Arteriovenous malformations (AVMs) are vascular anomalies where dilated arterioles are connected directly to venules without an intervening capillary bed. This tangle of blood vessels is often called a nidus. AVMs may exist in any part of the body, but those in the brain and spinal cord are associated with the greatest morbidity and mortality. The cause remains unknown but may be multifactorial involving genetic polymorphisms and possible environmental triggers. Treatment is with surgery, embolization, or stereotactic radiosurgery.
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References
Halim AX, Johnston SC, Singh V, McCulloch CE, Bennett JP, Achrol AS, et al. Longitudinal risk of intracranial hemorrhage in patients with arteriovenous malformation of the brain within a defined population. Stroke. 2004;35(7):1697–702.
Chen J, Wang Y, Li P, Chen W, Zhou J, Hu X, et al. Treatment of a giant arteriovenous malformation associated with intracranial aneurysm rupture during pregnancy: a case report. Exp Ther Med. 2016;12(3):1337–40.
Agarwal N, Guerra JC, Gala NB, Agarwal P, Zouzias A, Gandhi CD, et al. Current treatment options for cerebral arteriovenous malformations in pregnancy: a review of the literature. World Neurosurg. 2014;81:83–90.
Horton JC, Chambers WA, Lyons SL, Adams RD, Kjellberg RN. Pregnancy and the risk of hemorrhage from cerebral arteriovenous malformations. Neurosurgery. 1990;27(6):867–72.
Gross BA, Du R. Hemorrhage from arteriovenous malformations during pregnancy. Neurosurgery. 2012;71(2):349–56.
Liu X, Wang S, Zhao YL, Teo M, Guo P, Zhang D, et al. Risk of cerebral arteriovenous malformation rupture during pregnancy and puerperium. Neurology. 2014;82(20):1798–803.
Carvalho CS, Resende F, Centeno MJ, Ribeiro I, Moreira J. Anesthetic approach of pregnant woman with cerebral arteriovenous malformation and subarachnoid hemorrhage during pregnancy: case report. Brazilian J Anesthesiol (English Ed). 2013;63(2):223–6.
Robinson JL, Hall CS, Sedzimir CB. Arteriovenous malformations, aneurysms, and pregnancy. J Neurosurg. 1974;41(1):63–70.
Lv X, Liu P, Li Y. Pre-existing, incidental and hemorrhagic AVMs in pregnancy and postpartum: gestational age, morbidity and mortality, management and risk to the fetus. Interv Neuroradiol. 2016;22(2):206–11.
Fukuda K, Hamano E, Nakajima N, Katsuragi S, Ikeda T, Takahashi JC, et al. Pregnancy and delivery management in patients with cerebral arteriovenous malformation: a single-center experience. Neurol Med Chir (Tokyo). 2013;53(8):565–70.
Lv X, Li Y. The clinical characteristics and treatment of cerebral AVM in pregnancy. Neuroradiol J. 2015;28(4):385–8.
Yu C, Jozsef G, Apuzzo MLJ, MacPherson DM, Petrovich Z. Fetal radiation doses for model C gamma knife radiosurgery. Neurosurgery. 2003;52(3):687–93. discussion 693
Nagayama K, Kurita H, Tonari A, Takayama M, Shiokawa Y. Radiosurgery for cerebral arteriovenous malformation during pregnancy: a case report focusing on fetal exposure to radiation. Asian J Neurosurg. 2010;5(2):73–7.
Ogilvy CS, Stieg PE, Awad I, Brown RD, Kondziolka D, Rosenwasser R, et al. Recommendations for the management of intracranial arteriovenous malformations. Circulation. 2001;103(21)
Coskun D, Mahli A, Yilmaz Z, Cizmeci P, Riviello C, Ammannati F, et al. Anesthetic management of caesarean section of a pregnant woman with cerebral arteriovenous malformation: a case report. Cases J. 2008;1(1):327.
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Mankowitz, S., Mankowitz, S.K.W. (2018). Cerebral Arteriovenous Malformations. In: Mankowitz, S. (eds) Consults in Obstetric Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-59680-8_34
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DOI: https://doi.org/10.1007/978-3-319-59680-8_34
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