====== Cerebellar Arteriovenous Malformation Treatment ======

see also [[Posterior Fossa Arteriovenous Malformation Treatment]].

In light of the unique [[natural history]] and angioarchitectural characteristics of [[cerebellar arteriovenous malformation]], their management is distinct from [[supratentorial arteriovenous malformation]] counterparts, requiring a more aggressive treatment strategy.

===== Surgery =====
Emergency microsurgery is effective in the treatment of ruptured cerebellar AVM
((Li JP, Zhao QH, Wang Y, Li T, Guo P, Zhao JZ. [Surgical treatment of ruptured 
cerebellar arteriovenous malformations]. Zhonghua Yi Xue Za Zhi. 2013 Jun
4;93(21):1660-3. Chinese. PubMed PMID: 24125678.)).

==Approaches==
[[Occipital transtentorial approach]] is a valuable approach for specific superior vermian, superomedian cerebellar, and tectal AVMs. Detailed assessment of angiographic features may however preclude its safety as a unique treatment plan, and complementary or alternative therapeutic options should be considered
((McLaughlin N, Martin NA. The occipital interhemispheric transtentorial
approach for superior vermian, superomedian cerebellar, and tectal arteriovenous 
malformations: advantages, limitations, and alternatives. World Neurosurg. 2014
Sep-Oct;82(3-4):409-16. doi: 10.1016/j.wneu.2013.07.075. Epub 2013 Jul 27.
Review. PubMed PMID: 23895929.
))
((Zhao J, Tao Y. The occipital transtentorial approach for cerebellar and
midbrain arteriovenous malformation. World Neurosurg. 2014 Sep-Oct;82(3-4):316-7.
doi: 10.1016/j.wneu.2013.08.043. Epub 2013 Sep 4. PubMed PMID: 24012552.)).

===== Radiosurgery =====

[[Gamma knife radiosurgery for arteriovenous malformation]]

[[Radiosurgery]] is an effective treatment modality for [[Cerebellar Arteriovenous Malformation]] with relatively limited adverse events. Infratentorial location did not affect radiosurgery outcomes
((Ding D, Starke RM, Yen CP, Sheehan JP. Radiosurgery for cerebellar
arteriovenous malformations: does infratentorial location affect outcome? World
Neurosurg. 2014 Jul-Aug;82(1-2):e209-17. doi: 10.1016/j.wneu.2014.02.007. Epub
2014 Feb 14. PubMed PMID: 24530455.
)).
Proved to be most effective for patients with smaller and previously nonembolized cerebellar malformations. Hemorrhage during the latency period occurred at a rate of 2.0% per year until obliteration occurred
((Bowden G, Kano H, Tonetti D, Niranjan A, Flickinger J, Lunsford LD.
Stereotactic radiosurgery for arteriovenous malformations of the cerebellum. J
Neurosurg. 2014 Mar;120(3):583-90. doi: 10.3171/2013.9.JNS131022. Epub 2013 Oct
25. PubMed PMID: 24160482.)).

===== Embolization =====

[[Cerebellar arteriovenous malformation embolization]].