抗血管生成剂作为小儿颅内动静脉畸形的新型治疗方法:病例报告。

Botanical Gazette Pub Date : 2019-10-04 Print Date: 2019-12-01 DOI:10.3171/2019.7.PEDS1976
Ken Maynard, Melissa LoPresti, Ionela Iacobas, Peter Kan, Sandi Lam
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引用次数: 0

摘要

脑动静脉畸形(AVM)是异常血管的高流量聚集,也是小儿颅内出血的常见原因。对于无法进行手术切除、血管内栓塞、放射外科手术或多模式治疗的动静脉畸形,可供选择的治疗方法很少。作者试图回顾与动静脉畸形形成有关的分子和遗传途径,重点探讨在治疗动静脉畸形时以这些途径为药物靶点的可能性。在本文介绍的新病例中,一名被诊断出患有颅内动静脉畸形的儿童患者接受了分子通路抑制剂的替代治疗。
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Antiangiogenic agent as a novel treatment for pediatric intracranial arteriovenous malformations: case report.

Intracerebral arteriovenous malformations (AVMs) are high-flow collections of abnormal vessels and a common cause of pediatric intracranial hemorrhage. There are few treatment options available for AVMs not amenable to surgical resection, endovascular embolization, radiosurgery, or multimodality treatment. The authors sought to review the molecular and genetic pathways that have been implicated in the formation of AVMs, focusing on the possibility of medically targeting these pathways in the treatment of AVMs. In the novel case presented here, a pediatric patient who was diagnosed with an intracranial AVM unamenable to conventional treatments underwent alternative treatment with molecular pathway inhibitors.

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