Spetzler Martin Grade 5 [Neurosurgery Wiki]

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====== Spetzler Martin Grade 5 ======

Grade IV or V lesions are only treated in circumstances of progressive neurological deterioration from hemorrhage, vascular steal, or seizure as seen in a case, which had a high risk of rebleeding because of presentation at young age with hemorrhagic episode, large size of the nidus, deep venous drainage pattern and associated aneurysm within the AVM
((Munakomi S, Bhattarai B, Cherian I. Case Report: Microsurgical excision of
grade 5 cerebral AVM. Version 2. F1000Res. 2015 Nov 2 [revised 2016 Jan
1];4:1197. eCollection 2015. PubMed PMID: 27853504; PubMed Central PMCID:
PMC5089143.
)).
----
Volume-Staged [[CyberKnife]] [[Stereotactic Radiosurgery]] for Treatment of [[Drug Resistant Epilepsy]] for a [[Spetzler-Martin AVM grading system]] V [[Arteriovenous Malformation]]: A Case Report and Review of the Literature
((Traylor JI, Johnson GS, Ashour R, Ghafoori P, Buchanan RJ. Volume-Staged
CyberKnife Stereotactic Radiosurgery for Treatment of Drug Resistant Epilepsy for
a Spetzler-Martin Grade V Arteriovenous Malformation: A Case Report and Review of
the Literature. World Neurosurg. 2019 Feb 21. pii: S1878-8750(19)30428-0. doi:
10.1016/j.wneu.2019.01.296. [Epub ahead of print] PubMed PMID: 30797935.
)).