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

被引：16

作者：

Wanebo, John E. ^{[1
,3
,4
]}

Kidd, Grant A. ^{[1
]}

King, Michael C. ^{[2
]}

Chung, Thomas S. ^{[2
]}

机构：

[1] USN, Med Ctr, Dept Neurosci, San Diego, CA 92134 USA

[2] USN, Med Ctr, Dept Radiat Oncol, San Diego, CA 92134 USA

[3] Natl Naval Med Ctr, Dept Neurosurg, Bethesda, MD 20889 USA

[4] Uniformed Serv Univ Hlth Sci, Dept Surg, Bethesda, MD 20814 USA

来源：

SURGICAL NEUROLOGY | 2009年 / 72卷 / 02期

关键词：

Hyperbaric oxygen treatment; Arteriovenous malformation; Stereotactic radiosurgery; Adverse radiation effects; INDUCED BRAIN-INJURY; GAMMA-KNIFE SURGERY; NECROSIS; EDEMA; PERMEABILITY; PARAMETERS; OUTCOMES; SYSTEM; TISSUE;

D O I：

10.1016/j.surneu.2008.03.037

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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. (C) 2009 Published by Elsevier Inc.

引用

页码：162 / 168

页数：7

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