Radiocirurgia estereotáxica no tratamento de malformações arteriovenosas cerebrais

Beraha, Jack; Feriancic, Carlos Vitório; Scaff, Luiz Alberto Malaguti

doi:10.1590/S0004-282X1987000400005

Resumos

Neste trabalho os autores pretendem mostrar a utilidade da técnica radiocirúrgica nas malformações arteriovenosas intracerebrais, como procedimento alternativo para estas patologias. São apresentados o procedimento e os resultados verificados em 25 casos tratados durante período de três anos.

Since March 1983 we are attempting for the first time in Brazil to develop improvements on stereotactic radiosurgery techniques. We have been using the multifocal irradiation method attaching to this purpose the Barcia IV stereotactic frame to a 4 MV linear accelerator. We show details about the centralisation technique and the security patterns in our system. From October 1983 to November 1986, 25 patients with arteriovenous malformations of the brain were submitted to a radiosurgery treatment in our service. Good results obtained on the follow-up from one to three years are analysed.

Radiocirurgia estereotáxica no tratamento de malformações arteriovenosas cerebrais

Stereotaxic radiosurgery for therapy of arteriovenous malformations of the brain

Jack Beraha^I; Carlos Vitório Feriancic^II; Luiz Alberto Malaguti Scaff^III

^INeurocirurgião - Trabalho realizado no Departamento de Radiocirurgia Estereotaxica do Instituto de Radioterapia Osvaldo Cruz de São Paulo

^IIRadioterapeuta - Trabalho realizado no Departamento de Radiocirurgia Estereotaxica do Instituto de Radioterapia Osvaldo Cruz de São Paulo

^IIIFísico - Trabalho realizado no Departamento de Radiocirurgia Estereotaxica do Instituto de Radioterapia Osvaldo Cruz de São Paulo

RESUMO

Neste trabalho os autores pretendem mostrar a utilidade da técnica radiocirúrgica nas malformações arteriovenosas intracerebrais, como procedimento alternativo para estas patologias. São apresentados o procedimento e os resultados verificados em 25 casos tratados durante período de três anos.

SUMMARY

Since March 1983 we are attempting for the first time in Brazil to develop improvements on stereotactic radiosurgery techniques. We have been using the multifocal irradiation method attaching to this purpose the Barcia IV stereotactic frame to a 4 MV linear accelerator. We show details about the centralisation technique and the security patterns in our system. From October 1983 to November 1986, 25 patients with arteriovenous malformations of the brain were submitted to a radiosurgery treatment in our service. Good results obtained on the follow-up from one to three years are analysed.

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Departamento de Radiocirurgia Estereotáxica - Av. Angélica, 2168 - 01228, São Paulo, SP - Brasil.

1. BARCIA-SALÓRIO, J.L. - Radiocirurgia estereotâctica. Pathos 29:54, 1982.
2. BERAHA, J.; BARCIA-SALÓRIO, J.L.; BORDES, J. & HERNANDEZ, G. - Radicirurgia estereotâxica. Arq. bras. Neurocir. 3:15, 1984.
3. FORSTER, D.M.C.; STEINER, L. & HAKANSON, S. - Arteriovenous malformations of the brain: a long term clinical study. J. Neurosurg. 37:562, 1972.
4. KJELLBERG, R.N. - Bragg peak proton radiosurgery for arteriovenous malformation of the brain. First International Seminar on the use of Proton Beams in Radiation Therapy, Moscow, 1977.
5. KJELLBERG, R.N. - Bragg peak proton radiosurgery method. In G. Szikla: Stereotactic Cerebral Irradiation. Inserm Symposium 12. Elsevier-North Holland, Amsterdam, 1979, pg. 233.
6. KJELLBERG, R.N.; HANAMURA, T.; DAVIS, K.R. & ADAMS, R.D. - Bragg peak proton beam therapy for arteriovenous malformation of the brain. N. Engl. J. Med. 309:269, 1983.
7. LEKSELL, L. - The stereotaxic method and radiosurgery of the brain. Acta chir. scand. 102:316, 1951.
8. LEKSELL, L. ; LARSSON, B.; ANDERSSON, B.; REXED, B.; SOURANDER, P. & MAIR, W. - Lesions in depth of the brain produced by a beam of high energy protons. Acta radiol. 54:252, 1951.
9. NILSSON, A.; WENNERSTRAND, J. & LEKSELL, L. - Stereotactic gamma irradiation of basilar artery in cat: a pilot study. Acta radiol. oncol. Radioth. phys. biol. 17:150, 1978.
10. OLIVECRONA, H. & REEVES, J. - Arteriovenous aneuryms of the brain. Arch. Neurol. 59:567, 1958.
11. SMITH, L.J. - Effects of gamma irradiation on isolated surviving arteries and their vasavasorum. Amer. J. Physiol. 201:901, 1961.
12. STEINER, L. - Treatment of arteriovenous malformations by radiosurgery. In B. Stein: Intracranial Arteriovenous Malformations. Current Neurosurgical Practice, 1984.

Datas de Publicação

Publicação nesta coleção
22 Jun 2011
Data do Fascículo
Dez 1987

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BARCIA-SALÓRIO, J.L. - Radiocirurgia estereotâctica. Pathos 29:54, 1982.

[2] 2. BERAHA, J.; BARCIA-SALÓRIO, J.L.; BORDES, J. & HERNANDEZ, G. - Radicirurgia estereotâxica. Arq. bras. Neurocir. 3:15, 1984.

[3] 3. FORSTER, D.M.C.; STEINER, L. & HAKANSON, S. - Arteriovenous malformations of the brain: a long term clinical study. J. Neurosurg. 37:562, 1972.

[4] 4. KJELLBERG, R.N. - Bragg peak proton radiosurgery for arteriovenous malformation of the brain. First International Seminar on the use of Proton Beams in Radiation Therapy, Moscow, 1977.

[5] 5. KJELLBERG, R.N. - Bragg peak proton radiosurgery method. In G. Szikla: Stereotactic Cerebral Irradiation. Inserm Symposium 12. Elsevier-North Holland, Amsterdam, 1979, pg. 233.

[6] 6. KJELLBERG, R.N.; HANAMURA, T.; DAVIS, K.R. & ADAMS, R.D. - Bragg peak proton beam therapy for arteriovenous malformation of the brain. N. Engl. J. Med. 309:269, 1983.

[7] 7. LEKSELL, L. - The stereotaxic method and radiosurgery of the brain. Acta chir. scand. 102:316, 1951.

[8] 8. LEKSELL, L. ; LARSSON, B.; ANDERSSON, B.; REXED, B.; SOURANDER, P. & MAIR, W. - Lesions in depth of the brain produced by a beam of high energy protons. Acta radiol. 54:252, 1951.

[9] 9. NILSSON, A.; WENNERSTRAND, J. & LEKSELL, L. - Stereotactic gamma irradiation of basilar artery in cat: a pilot study. Acta radiol. oncol. Radioth. phys. biol. 17:150, 1978.

[10] 10. OLIVECRONA, H. & REEVES, J. - Arteriovenous aneuryms of the brain. Arch. Neurol. 59:567, 1958.

[11] 11. SMITH, L.J. - Effects of gamma irradiation on isolated surviving arteries and their vasavasorum. Amer. J. Physiol. 201:901, 1961.

[12] 12. STEINER, L. - Treatment of arteriovenous malformations by radiosurgery. In B. Stein: Intracranial Arteriovenous Malformations. Current Neurosurgical Practice, 1984.