Treatment of Cerebral Arteriovenous Malformation (AVM) in Southern Iran

Abstract

Background: Shiraz is a main referral center for treatment of cerebra vascular lesions in southern Iran for more than 30 years. After development of subdivision in Shiraz neurosurgery group from 7 years ago, our experiences gradually increased and we are using multi modality treatment for cerebral arteriovenous malformation (AVM).

Materials and Methods: Every year we are managing about 25-30 patients with AVM. The main presentations are hemorrhage, seizure and headache. About 50% manage surgically and the others by embolization and or gamma knife radio surgery.

Result: Young age is the most range and the majority presented with ICH. For patients with grade one, two and majority of grade three the main option is surgery. We are using preoperative embolization if needed. For high grade AVM embolization and then gamma knife are our options.

Conclusion: We are using multi-modality treatment for management of cerebral AVMs in Shiraz.