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Pediatric emergency medicine trisk 4007 4007

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FIGURE 122.3 T1-weighted sagittal MRI demonstrates an AVM in the right corpus
callosum with intraventricular hemorrhage with main feeding vessel from right
pericallosal artery and draining into the right internal cerebral vein.

Management. The currently used treatments for AVMs include: (1)
Microsurgical resection only, (2) preoperative endovascular embolization
followed by microsurgical resection, (3) stereotactic radiosurgery only, (4)
preprocedural endovascular embolization followed by radiosurgical
treatment, (5) endovascular embolization only, and (6) observation only.
The ultimate goal for all of these modalities is cure for the patient; however,
the only way to achieve cure is with complete obliteration of the AVM.
Microsurgery is the gold standard for resection of small superficial AVMs
that other methods of treatment must be measured against. There is



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