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.
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.
1. Introduction - p. 3 2. Chapter 1: Anatomy and Histology of Intracranial AVMs - p. 5 3. Chapter 2: Pathology and Genetics - p. 23 4. Chapter 3: Radiographic Anatomy: CT/MRI/Angiography and Risks - p. 32 5. Chapter 4: MRI Neurovascular Evaluation: Blood Flow, Perfusion, Diffusion, and Susceptibility - p. 44 6. Section 2: Natural History: “What Does It Mean To Have An AVM?” - p. 56 7. Introduction - p. 57 8. Chapter 5: Natural History of Intracranial AVMs - p. 59 9. Chapter 6: Aneurysms Associated With AVMs - p. 65 10. Chapter 7: Hemodynamic Factors: Steal/Breakthrough Bleeding - p. 69 11. Chapter 8: Classification Systems - p. 76 12. Chapter 9: Seizures and AVMs - p. 89 13. Section 3: Treatment Options: “What Can I Do About It?” - p. 101 14. Introduction - p. 103 15. Chapter 10: Decision Analysis for Asymptomatic Lesions - p. 105 16. Chapter 11: Decision Analysis for Symptomatic Lesions - p. 114 17. Chapter 12: Decision Analysis for AVM-Associated Aneurysms - p. 128 18. Chapter 13: Surgical Principles: Techniques, Goals, and Outcomes - p. 135 19. Chapter 14: Radiosurgery Principles for AVM Management: Techniques, Goals, and Outcomes - p. 146 20. Chapter 15: Principles of Neuroendovascular Management of AVMs: Goals, Timing, Techniques, and Outcomes - p. 154 21. Chapter 16: Multimodal/Combined Therapy: Goals and Outcomes - p. 164 22. Chapter 17: Palliation Versus Observation: Nonresectable AVMs - p. 168 23. Section 4: Risk Profiles: “What Are My Risks With Each Decision?” - p. 174 24. Introduction - p. 175 25. Chapter 18: Conservative Management (“Observation”) of Intracranial AVMs - p. 177 26. Chapter 19: Grading Systems and Surgical Risks - p. 183 27. Chapter 20: Risks of Endovascular Treatment of AVMs - p. 194 28. Chapter 21: Risks of Combined Therapies - p. 203 29. Chapter 22: Risks of Radiosurgery - p. 210 30. Part 2: The Physician-Centered Approach - p. 216 31. Section 5: AVM Management For The Emergency Medicine Physician - p. 216 32. Introduction - p. 219 33. Chapter 23: Emergency Management of Ruptured Intracranial AVMs - p. 221 34. Section 6: AVM Management For The Anesthesiologist - p. 226 35. Introduction - p. 227 36. Chapter 24: Medical Comorbidities in Elective Surgery - p. 229 37. Chapter 25: Anesthetic Management of Intracranial AVMs - p. 238 38. Chapter 26: Management of Perioperative Complications During AVM Treatment - p. 246 39. Section 7: AVM Management For The Neurointensivist - p. 254 40. Introduction - p. 255 41. Chapter 27: Intracranial AVMs and the Neurointensivist - p. 257 42. Section 8: AVMS and Pregnancy - p. 266 43. Introduction - p. 267 44. Chapter 28: Obstetric Considerations in AVM Management - p. 269 45. Section 9: Anatomic and Technical Considerations For The Neurosurgeon - p. 281 46. Introduction - p. 283 47. Chapter 29: Preoperative, Intraoperative, and Postoperative Imaging - p. 285 48. Chapter 30: Giant Intracranial AVMs - p. 297 49. Chapter 31: Treatment of Eloquent Cortex AVMs - p. 304 50. Chapter 32: Posterior Fossa AVMs - p. 310 51. Chapter 33: Callosal and Periventricular AVMs - p. 324 52. Chapter 34: AVMs of the Sylvian Fissure - p. 337 53. Chapter 35: Pediatric AVMs - p. 348 54. Chapter 36: Residual AVMs - p. 356 55. Chapter 37: Intraoperative AVM Rupture - p. 362 56. Section 10: Future Considerations - p. 367 57. Introduction - p. 369 58. Chapter 38: The Value of a Registry - p. 371 59. Chapter 39: Imaging Predictors for Rupture - p. 381 60. Chapter 40: Radiosurgical Innovations - p. 389 61. Chapter 41: Molecular Biology and Novel Treatments of Intracranial AVMs - p. 404 62. Chapter 42: Surgical Innovations - p. 414 63. Index - p. 421
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.
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.
1. Introduction - p. 3 2. Chapter 1: Anatomy and Histology of Intracranial AVMs - p. 5 3. Chapter 2: Pathology and Genetics - p. 23 4. Chapter 3: Radiographic Anatomy: CT/MRI/Angiography and Risks - p. 32 5. Chapter 4: MRI Neurovascular Evaluation: Blood Flow, Perfusion, Diffusion, and Susceptibility - p. 44 6. Section 2: Natural History: “What Does It Mean To Have An AVM?” - p. 56 7. Introduction - p. 57 8. Chapter 5: Natural History of Intracranial AVMs - p. 59 9. Chapter 6: Aneurysms Associated With AVMs - p. 65 10. Chapter 7: Hemodynamic Factors: Steal/Breakthrough Bleeding - p. 69 11. Chapter 8: Classification Systems - p. 76 12. Chapter 9: Seizures and AVMs - p. 89 13. Section 3: Treatment Options: “What Can I Do About It?” - p. 101 14. Introduction - p. 103 15. Chapter 10: Decision Analysis for Asymptomatic Lesions - p. 105 16. Chapter 11: Decision Analysis for Symptomatic Lesions - p. 114 17. Chapter 12: Decision Analysis for AVM-Associated Aneurysms - p. 128 18. Chapter 13: Surgical Principles: Techniques, Goals, and Outcomes - p. 135 19. Chapter 14: Radiosurgery Principles for AVM Management: Techniques, Goals, and Outcomes - p. 146 20. Chapter 15: Principles of Neuroendovascular Management of AVMs: Goals, Timing, Techniques, and Outcomes - p. 154 21. Chapter 16: Multimodal/Combined Therapy: Goals and Outcomes - p. 164 22. Chapter 17: Palliation Versus Observation: Nonresectable AVMs - p. 168 23. Section 4: Risk Profiles: “What Are My Risks With Each Decision?” - p. 174 24. Introduction - p. 175 25. Chapter 18: Conservative Management (“Observation”) of Intracranial AVMs - p. 177 26. Chapter 19: Grading Systems and Surgical Risks - p. 183 27. Chapter 20: Risks of Endovascular Treatment of AVMs - p. 194 28. Chapter 21: Risks of Combined Therapies - p. 203 29. Chapter 22: Risks of Radiosurgery - p. 210 30. Part 2: The Physician-Centered Approach - p. 216 31. Section 5: AVM Management For The Emergency Medicine Physician - p. 216 32. Introduction - p. 219 33. Chapter 23: Emergency Management of Ruptured Intracranial AVMs - p. 221 34. Section 6: AVM Management For The Anesthesiologist - p. 226 35. Introduction - p. 227 36. Chapter 24: Medical Comorbidities in Elective Surgery - p. 229 37. Chapter 25: Anesthetic Management of Intracranial AVMs - p. 238 38. Chapter 26: Management of Perioperative Complications During AVM Treatment - p. 246 39. Section 7: AVM Management For The Neurointensivist - p. 254 40. Introduction - p. 255 41. Chapter 27: Intracranial AVMs and the Neurointensivist - p. 257 42. Section 8: AVMS and Pregnancy - p. 266 43. Introduction - p. 267 44. Chapter 28: Obstetric Considerations in AVM Management - p. 269 45. Section 9: Anatomic and Technical Considerations For The Neurosurgeon - p. 281 46. Introduction - p. 283 47. Chapter 29: Preoperative, Intraoperative, and Postoperative Imaging - p. 285 48. Chapter 30: Giant Intracranial AVMs - p. 297 49. Chapter 31: Treatment of Eloquent Cortex AVMs - p. 304 50. Chapter 32: Posterior Fossa AVMs - p. 310 51. Chapter 33: Callosal and Periventricular AVMs - p. 324 52. Chapter 34: AVMs of the Sylvian Fissure - p. 337 53. Chapter 35: Pediatric AVMs - p. 348 54. Chapter 36: Residual AVMs - p. 356 55. Chapter 37: Intraoperative AVM Rupture - p. 362 56. Section 10: Future Considerations - p. 367 57. Introduction - p. 369 58. Chapter 38: The Value of a Registry - p. 371 59. Chapter 39: Imaging Predictors for Rupture - p. 381 60. Chapter 40: Radiosurgical Innovations - p. 389 61. Chapter 41: Molecular Biology and Novel Treatments of Intracranial AVMs - p. 404 62. Chapter 42: Surgical Innovations - p. 414 63. Index - p. 421
