Stereotactic Radiosurgery with Neoadjuvant Embolization of Larger Arteriovenous Malformations: An Institutional Experience
Figure 1
57 yo M presenting with incapacitating migraines found in frontal and lateral views of digital subtraction angiogram, left carotid injection, to have Spetzler-Martin grade III left parietal AVM (a-b). Frontal and lateral views of digital subtraction angiogram showing reduction of AVM nidus after 1st endovascular embolization with NBCA (c-d). Frontal and lateral views of digital subtraction angiogram following third NBCA embolization session with remaining small nidus and fistula (e-f). Frontal and lateral views of digital subtraction angiogram showing small remaining nidus and fistula prior to Gamma Knife SRS planning (g-h). Frontal and lateral views of digital subtraction angiogram showing complete obliteration of AVM 2 years after SRS session (i-j).
