- No curative treatments: Currently there are no accepted medical treatments for the cure of AVMs in children. Medical therapies are focused on the abrogation of symptoms (headache, antiepileptic medication, blood pressure control, etc.).
- Radiosurgery for lesions smaller than 3 cm: Conventional fractionated radiation is not helpful in most AVMs. In contrast, stereotactic radiosurgery offers cure rates of up to 90% in lesions smaller than 3 cm. This approach is beneficial for surgically inaccessible lesions or for lesions in patients who are high-risk surgical candidates. Shortcomings of this approach include a delay of up to 3 years for lesion obliteration and exposure to radiation in children. Radiation has increased risk in younger populations, making its application less appealing in children under 3 years of age.
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