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Stereotactic linear accelerator(linac)radiosurgery has been in operation in the West Midlands since 1987,the first of its kind in the United Kingdom.Forty two patients with high-flow cerebral arteriovenous malformations have been treated,26 of whom have been followed up. Angiography one year after treatment showed that five lesions were obliterated,11 were reduced in size and/or flow rate and 10 were unchanged.Overall results show that nine out of 10 patients reviewed at 24 months had total obliteration.Three patients had complications;one has fully recovered,one died of an unrelated cause at 36 months and the other died from recurrent haemorrhage at nine months.Two patients had recurrent non-fatal haemorrhage within 24 months of treatment;both recovered without further deficit.All patients are fit to work but eight are unemployed. Although the follow up period is short,the early results indicate a success rate similar to those published by others using linac radiosurgery. |
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arteriovenous malformation
arteriovenous malformation,cerebral
linear accelerator
malformation,vascular
malformation,vascular,cerebral
malformation,vascular,treatment of
radiation therapy,CNS treatment and complications with
radiation therapy,stereotactic
treatment of neurologic disorder
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