• Neurosurg. Clin. N. Am. · Oct 2013

    Review

    Stereotactic radiosurgery of intracranial cavernous malformations.

    • Gábor Nagy and Andras A Kemeny.
    • Department of Neuro-Oncology, National Institute of Neurosciences, Amerikai út 57, Budapest 1145, Hungary.
    • Neurosurg. Clin. N. Am. 2013 Oct 1;24(4):575-89.

    AbstractDespite increasing worldwide experience, the role of stereotactic radiosurgery (SRS) in the management of cerebral cavernous malformations (CMs) remains controversial. Microsurgical excision of easily accessible CMs is typically safe; therefore, removal remains the gold standard for most of the symptomatic hemispheric lesions. However, there is now sufficient evidence supporting the use of SRS for the difficult cases. Waiting for the cumulative morbidity of the natural history to justify intervention does not serve the patient's interest, therefore, we argue for early radiosurgical intervention. Carefully designed randomized controlled trials might resolve controversies concerning the role of SRS in treating cerebral CMs.Crown Copyright © 2013. Published by Elsevier Inc. All rights reserved.

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