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Vol. 20. Issue 1.
Pages 5-14 (January 2009)
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Vol. 20. Issue 1.
Pages 5-14 (January 2009)
Recomendaciones para el manejo de las malformaciones arteriovenosas cerebrales
Recomendation for the management of the brain arteriovenous malformations
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E. Spagnuolo
Neurocirugía vascular. Uruguay
L. Lemme-Plaghos*, F. Revilla**, L. Quintana***, J. Antico****
* Neurocirugía endovascular. Argentina
** Neurocirugía vascular México
*** Neurocirugía vascular. Chile
**** Neurocirugía. Radiocirugía. Argentina
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Resumen

Las malformaciones arteriovenosas son un grupo de lesiones bastante heterogéneo, que representan un desafío para el neurocirujano.

La variabilidad de su tamaño, topografía, angioarquitectura, etc., así como las diferentes posibilidades de presentación clínica, hacen que los planteos terapéuticos sean variados.

No hay consenso a nivel internacional incluso de cómo tratar malformaciones de características similares. Influye también en esto las diferentes opciones terapéuticas que se ofrecen y la experiencia que se tiene en el tratamiento de las mismas.

Es por todo lo anterior, que la Federación Latinoamericana de Neurocirugía, a través de su Comité Vascular en el año 2003 publicó unas primeras pautas de manejo de las malformaciones arteriovenosas.

Los avances en el diagnóstico y en el tratamiento que se han verificado en los últimos años, motivó a los autores a revisar esas primeras pautas y actualizarlas.

Hay que tener en cuenta que lo que se presenta son solamente guías para que un neurocirujano tenga algo en que apoyarse al enfrentarse ante una lesión de este tipo, pero de ninguna manera se pretende que las mismas deban cumplirse estrictamente.

Palabras clave:
Malformaciones arteriovenosas cerebrales
Guías de tratamiento
Summary

Intracranial arteriovenous malformations constitute an heterogenous group of lesions that represent a real challenge to the neurosurgeon.

Their variability in size, topography, angioarchitecture, etc., and also the multiple clinical presentations, lead to varied therapeutic approaches.

There is no international consent regarding how to treat malformations of similar features. This fact is influenced by the different therapeutic options, and the personal experience in the management of these lesions.

Based on the former considerations, the FLANC (Latin American Federation of Neurosurgery), through its Vascular Commitee, published in 1993 the first guidelines in the management of arteriovenous malformations.

The advances in the diagnosis and treatment verified in the past last years, has motivated the authors to review and actualize these first guidelines.

The intention of these guidelines is to provide the neurosurgeon support when facing these lesions, and does not mean that they should be strictly followed.

Key words:
Intracranial arterioveous malformations
Guidelines of treatment

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