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

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...

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Bibliographic Details
Published in:Surgical neurology 2009-08, Vol.72 (2), p.162-167
Main Authors: Wanebo, John E., MD, Kidd, Grant A., DO, King, Michael C., DO, Chung, Thomas S., MD
Format: Article
Language:English
Subjects:
Adolescent
Adverse radiation effects
Arteriovenous malformation
Brain - pathology
Brain - radiation effects
Brain Edema - etiology
Humans
Hyperbaric oxygen treatment
Hyperbaric Oxygenation
Intracranial Arteriovenous Malformations - diagnosis
Intracranial Arteriovenous Malformations - surgery
Intracranial Pressure
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Male
Nausea - etiology
Necrosis - etiology
Neurology
Radiation Injuries - diagnosis
Radiation Injuries - etiology
Radiation Injuries - physiopathology
Radiation Injuries - therapy
Radiosurgery - adverse effects
Stereotactic radiosurgery
Surgery
Tomography, X-Ray Computed
Treatment Outcome
Vomiting - etiology
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Summary: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.
ISSN:0090-3019
1879-3339
DOI:10.1016/j.surneu.2008.03.037