Hyperbaric oxygen therapy for treatment of adverse radiation effects after stereotactic radiosurgery of arteriovenous malformations: case report and review of literature.

Department

Neurosurgery

Document Type

Article

Abstract

BACKGROUND: Adverse radiation effects are a known complication after the use of SRS for AVMs, although it is difficult to predict which patients will manifest with these side effects. Treatment of swelling due to ARE is usually medical, but refractory cases may require surgical decompression.

CASE DESCRIPTION: This report presents a case of a patient who experienced AREs after SRS (edema, headaches, and nausea) that failed to respond to steroid treatment but was successfully treated with HBO. The treatment characteristics of this and of 5 other cases of radiation injury after SRS for AVM managed with HBO therapy are reviewed, and the pathophysiology is discussed.

CONCLUSION: Hyperbaric oxygen therapy provides a therapeutic option to treat AREs following SRS of cerebral AVMs.

Medical Subject Headings

Adolescent; Brain; Brain Edema; Humans; Hyperbaric Oxygenation; Intracranial Arteriovenous Malformations; Intracranial Pressure; Magnetic Resonance Angiography; Magnetic Resonance Imaging; Male; Nausea; Necrosis; Radiation Injuries; Radiosurgery; Tomography, X-Ray Computed; Treatment Outcome; Vomiting

Publication Date

8-1-2009

Publication Title

Surgical neurology

ISSN

1879-3339

Volume

72

Issue

2

First Page

162

Last Page

167

PubMed ID

18786715

Digital Object Identifier (DOI)

10.1016/j.surneu.2008.03.037

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