中国现代神经疾病杂志 ›› 2023, Vol. 23 ›› Issue (5): 388-392. doi: 10.3969/j.issn.1672-6731.2023.05.002

• 专论 • 上一篇    下一篇

2 儿童脑动静脉畸形治疗策略

曾高, 刘雨桐, 孙澎, 杜建新   

  1. 100053 北京, 首都医科大学宣武医院神经外科
  • 收稿日期:2023-05-06 出版日期:2023-05-25 发布日期:2023-06-07
  • 通讯作者: 曾高,Email:zengrogoss@163.com

Treatment of pediatric cerebral arteriovenous malformation

ZENG Gao, LIU Yu-tong, SUN Peng, DU Jian-xin   

  1. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2023-05-06 Online:2023-05-25 Published:2023-06-07

摘要: 目前儿童脑动静脉畸形的主要治疗方式包括显微外科手术、血管内介入治疗及立体定向放射外科治疗,由于无法通过其中某一项治疗使所有病例达到最佳治疗效果,建议在了解不同治疗方式适应证与优势的前提下,结合患儿临床特点和病灶特征,根据不同治疗时机制定个体化治疗策略。本文对儿童脑动静脉畸形的不同治疗方式及整体治疗现状进行概述,为规范治疗提供思路及依据。

关键词: 脑动静脉畸形, 显微外科手术, 脑血管造影术, 儿童

Abstract: The mainstream treatment strategies for pediatric cerebral arteriovenous malformation (CAVM) include microsurgery, interventional surgery and stereotactic radiosurgery (SRS). The best prognosis of a patient cannot be achieved by any single treatment strategy. The treatment indication and advantages of different strategy should be fully acquainted, and the clinical characteristics and features of the lesion should also be taken into consideration when making clinical decision for pediatric CAVM cases at different stages of management. This article introduces different treatment strategies and the current status of management for pediatric CAVM, aiming to provide evidence and basis for management standard for these patients.

Key words: Cerebral arteriovenous malformations, Microsurgery, Cerebral angiography, Child Conflicts of interest: none declared