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Æðaflækjur í heila – yfirlitsgrein

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Authors
Ólafur Árni Sveinsson
Ingvar H. Ólafsson
Einar Már Valdimarsson
Issue Date
2016-09

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Other Titles
Cerebral arteriovenous malformations – overview
Citation
Læknablaðið 2016, 102(9):385-90
Abstract
Æðaflækjur í heila eru sjaldgæfar en geta valdið alvarlegum heilablæðingum, varanlegri fötlun og dauða. Auk þessa geta þær valdið staðbundnum taugaeinkennum, flogum og höfuðverk. Meðferð æðaflækja er vandasöm. Algengust er skurðaðgerð þar sem leitast er við að loka nærandi slag- æðum. Einnig er notast við þrívíddarmiðaða (stereotactic) geislameðferð eða innanæðarlokun (endovascular embolization) í sama tilgangi. Velja þarf rétta meðferð fyrir hvert tilfelli og oft þarf að beita fleiru en einu með- ferðarformi til að loka æðaflækjunni. Nýlegar rannsóknir benda til þess að ekki eigi að grípa til aðgerðar þegar æðaflækjur hafa ekki blætt. Í þessari grein er veitt yfirlit yfir faraldsfræði, einkenni, greiningu og meðferð æðaflækja í heila.
Cerebral arteriovenous malformations (AVMs) are uncommon but can cause intracerebral hemorrhage with grave disability or death. AVMs can even cause focal neurological symptoms, seizures and headache. The treatment of AVMs is complex. The most common treatment forms are microsurgery, stereotactic radiotherapy and endovascular embolization. The best treatment in each case can include a combination of the mentioned treatment forms. New studies indicate that no intervention is the best option in unruptured AVMs. In this article we discuss the epidemiology, diagnosis and treatment of cerebral AVMs.
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To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access.
Additional Links
http://dx.doi.org/ 10.17992/lbl.2016.09.96
http://www.laeknabladid.is/
ae974a485f413a2113503eed53cd6c53
10.17992/lbl.2016.09.96
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Icelandic Journal Articles (Peer Reviewed)

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