Author(s): Tonder L.V.; Healy A.; Mallucci C.; Maye H.; Pringle C.; Kamali I.; Nasser H.
Source: Child’s Nervous System; Oct 2017; vol. 33 (no. 10); p. 1826
Publication Date: Oct 2017
Publication Type(s): Conference Abstract
Available at Child’s Nervous System – from SpringerLink – Medicine
Abstract:OBJECTIVE:Arteriovenous malformations (AVM) are rare congenital vascular lesions caused by the abnormal development of blood vessels within the brain. The commonest presentation is haemorrhage, regardless of age, but up to 85% of children present with a bleed with an associated mortality of 25% The use of the three treatment modalities (microsurgical resection, endovascular embolization and stereotactic radiosurgery) currently varies between treatment centres in the UK. We examined the outcomes of paediatric AVMs in the North West paediatric neurosurgical network with respect to the treatment modality employed. MATERIAL-METHODS:A review of all neurovascular activity was undertaken in December 2015 which identified the cohort of AVM patients under the care of neurosurgeons in the North West of England. A retrospective patient case note review was then undertaken. RESULTS:31 patients in Alder Hey and 26 patients in Manchester Children’s Hospital presented for care within the North West Paediatric Neurosurgery Network between 2007 and 2015. Patients were twice as likely to have surgical management of their AVM in Manchester. No patient re-bled whilst awaiting SRS. CONCLUSIONS:Treatment modality preference for the management of AVM varies even within the North West Paediatric Neurosurgery Network, we examine the outcomes of those treatments.