Summary
In order better to follow non-invasively the effect of proton beam therapy upon intracranial arteriovenous malformations, transcranial Doppler sonography (TCD) was used in 10 patients, in addition to conventional follow-up with angiography and computed tomography (CT); in six patients, pre- and postradiation TCD studies were obtained. The mean flow values obtained from the major arteries in the circle of Willis indicate an early flow reduction through the AVM of approximately 15% with further reduction between 2/3 and 1/2 of the initial values within 15 months of follow-up. CT showed a reduction of contrast enhancement in those patients in whom scans could be compared. In this limited experience, TCD was proven to yield additional information, in repeated non-invasive studies, on the haemodynamic influence of AVMs and the effect of proton beam therapy.
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References
Aaslid R (1986) Transcranial Doppler sonography. Springer, Wien New York.
Drake C (1983) Arteriovenous malformations of the brain. The options for management. N Engl J Med 309: 308–331.
Harders A (1986) Neurosurgical application of transcranial Doppler sonography. Springer, Wien New York.
Hassler W (1986) Haemodynamic aspects of cerebral angiomas. Acta Neurochir (Wien) [Suppl] 37 Springer, Wien New York.
Johnson RT (1975) Radiotherapy of cerebral angiomas with a note on some problems in diagnosis. In: Pia HW, Gleave JRW, Grote E, Zierski J (eds) Cerebral angioma: advances in diagnosis and treatment. Springer, Berlin Heidelberg New York, pp 256–259.
Kjellberg RN, Poletti CE, Roberson GH, Adams RD (1977) Bragg peak proton beam therapy treatment of arteriovenous malformations of the brain. Excerpta Med Int Congr Ser 433:181–187.
Kjellberg RN, Hanamura T, Davis KR, Lyons SL, Adams RD(1983) Bragg peak proton beam therapy for arteriovenous malformations of the brain. N Engl J Med 309: 269–274.
Lindegaard KF, Grolimund P, Aaslid R, Nornes H (1986) Evaluation of cerebral AVMs using transcranial Doppler ultrasound. J Neurosurg 65: 335–344.
Mchdorn HM, Ebbing H, Grote W (1983) Late results of surgical vs. conservative therapy of intracranial angiomas. 7th Europ Congr Neurosurg, Brussels (Abstr no 1).
Steiner L, Leksell L, Forster DMC, Greitz T, Backlund ED (1974) Stereotactic radiosurgery in intracranial arteriovenous malformations. Acta Neurochir (Wien) [Suppl] 21. Springer, Wien New York, pp 195–209.
Wilkins RH (1985) Natural history of intracranial vascular malformations: a review. Neurosurgery 16: 421–430.
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© 1988 Springer-Verlag/Wien
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Mehdorn, H.M., Grote, W. (1988). Non-invasive Follow-up of Patients with Intracranial Arteriovenous Malformations After Proton-beam Radiation Therapy. In: Isamat, F., Jefferson, A., Loew, F., Symon, L. (eds) Proceedings of the 8th European Congress of Neurosurgery Barcelona, September 6–11, 1987. Acta Neurochirurgica Supplementum 42, vol 42. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8975-7_20
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DOI: https://doi.org/10.1007/978-3-7091-8975-7_20
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