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.
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.
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