Clinical Neuroscience

[State of the art neurointerventional treatment of intracranial vascular anomalies]

SZIKORA István1, BERENTEI Zsolt1, MAROSFŐI Miklós1, KULCSÁR Zsolt1, GUBUCZ István1

MARCH 25, 2009

Clinical Neuroscience - 2009;62(03-04)

[Haemorrhagic stroke is frequently caused by rupture of intracranial vascular anomalies. The role of minimally invasive therapy in the treatment of such lesions has increased dramatically within the past two decades. The purpose of this study is to summarize the pathology and clinical features of these anomalies and to overview the potential applications of neurointerventional techniques in their treatment. Endovascular therapy is the first choice of treatment for most intracranial aneurysms. Both pial and dural arteriovenous malformations are being treated by endovascular techniques, but the combination of different modalities (such as endovascular, direct surgery and radiosurgery) is frequently applied. Capillary malformations require surgical removal and venous anomalies do not allow for any type of invasive treatment. State of the art therapy of intracranial vascular anomalies require institutions equipped with appropriate imaging facilities and having equal access to both conventional neurosurgical and neurointerventional techniques with ample experience and case load.]

AFFILIATIONS

  1. Országos Idegtudományi Intézet, Budapest

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