{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:38:11Z","timestamp":1792809491830,"version":"4.5.0"},"reference-count":34,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Rupture of brain arteriovenous malformation (AVM) is the main etiology of intracerebral hemorrhage (ICH) in children. Ensuing intracranial hypertension is among the modifiable prognosis factors and sometimes requires emergency hemorrhage evacuation (HE). The authors aimed to analyze variables associated with HE in children with ruptured AVM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This study was a single-center retrospective analysis of children treated for ruptured AVM. The authors evaluated the occurrence of HE, its association with other acute surgical procedures (e.g., nidal excision, decompressive hemicraniectomy), and clinical outcome. Variables associated with each intervention were analyzed using univariable and multivariable models. Clinical outcome was assessed at 18 months using the ordinal King\u2019s Outcome Scale for Childhood Head Injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 104 patients were treated for 112 episodes of ruptured AVM between 2002 and 2018. In the 51 children (45.5% of cases) who underwent HE, 37 procedures were performed early (i.e., within 24 hours after initial cerebral imaging) and 14 late. Determinants of HE were a lower initial Glasgow Coma Scale score (adjusted odds ratio [aOR] 0.83, 95% CI 0.71\u20130.97 per point increase); higher ICH\/brain volume ratio (aOR 18.6, 95% CI 13\u201326.5 per percent increase); superficial AVM location; and the presence of a brain herniation (aOR 3.7, 95% CI 1.3\u201310.4). Concurrent nidal surgery was acutely performed in 69% of Spetzler-Martin grade I\u2013II ruptured AVMs and in 25% of Spetzler-Martin grade III lesions. Factors associated with nidal surgery were superficial AVMs, late HE, and absent alteration of consciousness at presentation. Only 8 cases required additional surgery due to intracranial hypertension. At 18 months, overall mortality was less than 4%, 58% of patients had a favorable outcome regardless of surgical intervention, and 87% were functioning independently.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>HE is a lifesaving procedure performed in approximately half of the children who suffer AVM rupture. The good overall outcome justifies intensive initial management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2020.8.peds20479","type":"journal-article","created":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T02:11:42Z","timestamp":1611281502000},"page":"437-445","source":"Crossref","is-referenced-by-count":9,"title":["Acute surgical management of children with ruptured brain arteriovenous malformation"],"prefix":"10.3171","volume":"27","author":[{"given":"Sarah","family":"Stricker","sequence":"first","affiliation":[{"name":"APHP, Necker Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gr\u00e9goire","family":"Boulouis","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris;"},{"name":"INSERM U1266, Department of Neuroradiology, Sainte-Anne Hospital, GHU Paris Psychiatry and Neurosciences; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandro","family":"Benichi","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Bourgeois","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florent","family":"Gariel","sequence":"additional","affiliation":[{"name":"INSERM U1266, Department of Neuroradiology, Sainte-Anne Hospital, GHU Paris Psychiatry and Neurosciences; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Garzelli","sequence":"additional","affiliation":[{"name":"INSERM U1266, Department of Neuroradiology, Sainte-Anne Hospital, GHU Paris Psychiatry and Neurosciences; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Fran\u00e7ois","family":"Hak","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quentin","family":"Alias","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basile","family":"Kerleroux","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris;"},{"name":"INSERM U1266, Department of Neuroradiology, Sainte-Anne Hospital, GHU Paris Psychiatry and Neurosciences; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Beccaria","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana\u00efs","family":"Chivet","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timoth\u00e9e","family":"de Saint Denis","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syril","family":"James","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna","family":"Paternoster","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Zerah","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoelle","family":"Kossorotoff","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Boddaert","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"},{"name":"INSERM U1163, Imagine Institute, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Brunelle","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Meyer","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phanie","family":"Puget","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Naggara","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"},{"name":"INSERM U1266, Department of Neuroradiology, Sainte-Anne Hospital, GHU Paris Psychiatry and Neurosciences; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Blauwblomme","sequence":"additional","affiliation":[{"name":"APHP, Necker Hospital;"},{"name":"Universit\u00e9 de Paris;"},{"name":"INSERM U1163, Imagine Institute, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"127","DOI":"10.3171\/2016.9.PEDS16283","article-title":"International multicenter cohort study of pediatric brain arteriovenous malformations. Part 1: Predictors of hemorrhagic presentation","volume":"19","author":"Ding D","year":"2017","unstructured":"Ding D, \nStarke RM, \nKano H, \n\n \nInternational multicenter cohort study of pediatric brain arteriovenous malformations. Part 1: Predictors of hemorrhagic presentation. J Neurosurg Pediatr. \n2017;\n19(\n2):\n127\u2013\n135.\n10.3171\/2016.9.PEDS1628327911248"},{"issue":"2","key":"b2","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1148\/radiol.2017170152","article-title":"Predictors of outcome in patients with pediatric intracerebral hemorrhage: development and validation of a modified score","volume":"286","author":"Gu\u00e9don A","year":"2018","unstructured":"Gu\u00e9don A, \nBlauwblomme T, \nBoulouis G, \n\n \nPredictors of outcome in patients with pediatric intracerebral hemorrhage: development and validation of a modified score. Radiology. \n2018;\n286(\n2):\n651\u2013\n658.\n2902321910.1148\/radiol.2017170152"},{"issue":"6","key":"b3","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"1664","DOI":"10.1161\/STROKEAHA.113.004292","article-title":"Long-term outcome of 106 consecutive pediatric ruptured brain arteriovenous malformations after combined treatment","volume":"45","author":"Blauwblomme T","year":"2014","unstructured":"Blauwblomme T, \nBourgeois M, \nMeyer P, \n\n \nLong-term outcome of 106 consecutive pediatric ruptured brain arteriovenous malformations after combined treatment. Stroke. \n2014;\n45(\n6):\n1664\u2013\n1671.\n10.1161\/STROKEAHA.113.00429224788975"},{"issue":"12","key":"b4","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"3654","DOI":"10.1161\/STROKEAHA.119.025783","article-title":"Nontraumatic pediatric intracerebral hemorrhage","volume":"50","author":"Boulouis G","year":"2019","unstructured":"Boulouis G, \nBlauwblomme T, \nHak JF, \n\n \nNontraumatic pediatric intracerebral hemorrhage. Stroke. \n2019;\n50(\n12):\n3654\u2013\n3661.\n10.1161\/STROKEAHA.119.02578331637968"},{"issue":"5","key":"b5","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E11","DOI":"10.3171\/2013.2.FOCUS12368","article-title":"Hydrocephalus after arteriovenous malformation rupture","volume":"34","author":"Gross BA","year":"2013","unstructured":"Gross BA, \nLai PMR, \nDu R\n. \nHydrocephalus after arteriovenous malformation rupture. Neurosurg Focus. \n2013;\n34(\n5):\nE11.\n2363491510.3171\/2013.2.FOCUS12368"},{"issue":"9596","key":"b6","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"von Elm E","year":"2007","unstructured":"von Elm E, \nAltman DG, \nEgger M, \n\n \nThe Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. \n2007;\n370(\n9596):\n1453\u2013\n1457.\n10.1016\/S0140-6736(07)61602-X18064739"},{"key":"b7","series-title":"Dr. Warehouse. J Biomed Inform","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1016\/j.jbi.2018.02.019","article-title":"A clinician friendly data warehouse oriented toward narrative reports:","volume":"80","author":"Garcelon N","year":"2018","unstructured":"Garcelon N, \nNeuraz A, \nSalomon R, \n\n \nA clinician friendly data warehouse oriented toward narrative reports: Dr. Warehouse. J Biomed Inform. \n2018;\n80:\n52\u2013\n63.\n10.1016\/j.jbi.2018.02.01929501921"},{"issue":"6","key":"b8","series-title":"Dev Med Child Neurol","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1111\/j.1469-8749.2008.02061.x","article-title":"The King\u2019s Outcome Scale for Childhood Head Injury and injury severity and outcome measures in children with traumatic brain injury","volume":"50","author":"Calvert S","year":"2008","unstructured":"Calvert S, \nMiller HE, \nCurran A, \n\n \nThe King\u2019s Outcome Scale for Childhood Head Injury and injury severity and outcome measures in children with traumatic brain injury. Dev Med Child Neurol. \n2008;\n50(\n6):\n426\u2013\n431.\n1842268010.1111\/j.1469-8749.2008.02061.x"},{"issue":"3","key":"b9","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"283","DOI":"10.3171\/2020.3.PEDS19680","article-title":"Hydrocephalus in children with ruptured cerebral arteriovenous malformation","volume":"26","author":"Stricker S","year":"2020","unstructured":"Stricker S, \nBoulouis G, \nBenichi S, \n\n \nHydrocephalus in children with ruptured cerebral arteriovenous malformation. J Neurosurg Pediatr\n. \n2020;\n26(\n3):\n283-\n287.\n3244296810.3171\/2020.3.PEDS19680"},{"issue":"3","key":"b10","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1161\/STROKEAHA.112.670653","article-title":"The Modified Graeb Score: an enhanced tool for intraventricular hemorrhage measurement and prediction of functional outcome","volume":"44","author":"Morgan TC","year":"2013","unstructured":"Morgan TC, \nDawson J, \nSpengler D, \n\n \nThe Modified Graeb Score: an enhanced tool for intraventricular hemorrhage measurement and prediction of functional outcome. Stroke. \n2013;\n44(\n3):\n635\u2013\n641.\n2337020310.1161\/STROKEAHA.112.670653"},{"issue":"3","key":"b11","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"842","DOI":"10.3171\/2010.8.JNS10663","article-title":"A 3-tier classification of cerebral arteriovenous malformations","volume":"114","author":"Spetzler RF","year":"2011","unstructured":"Spetzler RF, \nPonce FA\n. \nA 3-tier classification of cerebral arteriovenous malformations. J Neurosurg. \n2011;\n114(\n3):\n842\u2013\n849.\n2093209510.3171\/2010.8.JNS10663"},{"issue":"6 Suppl","key":"b12","series-title":"J Trauma","first-page":"S235","article-title":"Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents","volume":"54","author":"American Association for the Surgery of Trauma, Child Neurology Society, International Society for Pediatric Neurosurgery","year":"2003","unstructured":"American Association for the Surgery of Trauma, Child Neurology Society, International Society for Pediatric Neurosurgery, \n\n \nGuidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. J Trauma. \n2003;\n54(\n6 Suppl):\nS235\u2013\nS310."},{"issue":"5","key":"b13","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1227\/NEU.0000000000001076","article-title":"Outcomes of multimodality therapy in pediatric patients with ruptured and unruptured brain arteriovenous malformations","volume":"78","author":"Nerva JD","year":"2016","unstructured":"Nerva JD, \nKim LJ, \nBarber J, \n\n \nOutcomes of multimodality therapy in pediatric patients with ruptured and unruptured brain arteriovenous malformations. Neurosurgery. \n2016;\n78(\n5):\n695\u2013\n707.\n2650964710.1227\/NEU.0000000000001076"},{"issue":"4","key":"b14","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1007\/s00381-017-3383-4","article-title":"Multimodality management and outcomes of brain arterio-venous malformations (AVMs) in children: personal experience and review of the literature, with specific emphasis on age at first AVM bleed","volume":"33","author":"Shtaya A","year":"2017","unstructured":"Shtaya A, \nMillar J, \nSparrow O\n. \nMultimodality management and outcomes of brain arterio-venous malformations (AVMs) in children: personal experience and review of the literature, with specific emphasis on age at first AVM bleed. Childs Nerv Syst. \n2017;\n33(\n4):\n573\u2013\n581.\n2832418310.1007\/s00381-017-3383-4"},{"issue":"5","key":"b15","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"462","DOI":"10.3171\/2011.2.PEDS10355","article-title":"Pediatric patients with poor neurological status and arteriovenous malformation hemorrhage: an outcome analysis","volume":"7","author":"Singhal A","year":"2011","unstructured":"Singhal A, \nAdirim T, \nCochrane D, \nSteinbok P\n. \nPediatric patients with poor neurological status and arteriovenous malformation hemorrhage: an outcome analysis. J Neurosurg Pediatr. \n2011;\n7(\n5):\n462\u2013\n467.\n2152918510.3171\/2011.2.PEDS10355"},{"issue":"1","key":"b16","series-title":"Neurosurgery","first-page":"8","article-title":"Acute surgical management of intracranial arteriovenous malformations","volume":"34","author":"Jafar JJ","year":"1994","unstructured":"Jafar JJ, \nRezai AR\n. \nAcute surgical management of intracranial arteriovenous malformations. Neurosurgery. \n1994;\n34(\n1):\n8\u2013\n13.\n8121572"},{"issue":"1-4","key":"b17","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1007\/BF01405499","article-title":"Treatment of cerebral arteriovenous malformations by neuroradiological intervention and surgical resection","volume":"130","author":"Westphal M","year":"1994","unstructured":"Westphal M, \nCristante L, \nGrzyska U, \n\n \nTreatment of cerebral arteriovenous malformations by neuroradiological intervention and surgical resection. Acta Neurochir (Wien). \n1994;\n130(\n1-4):\n20\u2013\n27.\n10.1007\/BF014054997537007"},{"issue":"4","key":"b18","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"999","DOI":"10.3171\/2017.1.JNS16745","article-title":"Delayed treatment of ruptured brain AVMs: Is it ok to wait?","volume":"128","author":"Beecher JS","year":"2018","unstructured":"Beecher JS, \nLyon K, \nBan VS, \n\n \nDelayed treatment of ruptured brain AVMs: Is it ok to wait? J Neurosurg. \n2018;\n128(\n4):\n999\u2013\n1005.\n10.3171\/2017.1.JNS1674528686111"},{"issue":"11","key":"b19","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"2103","DOI":"10.1007\/s00701-017-3315-9","article-title":"Timing of surgery for ruptured supratentorial arteriovenous malformations","volume":"159","author":"Hafez A","year":"2017","unstructured":"Hafez A, \nOulasvirta E, \nKoroknay-P\u00e1l P, \n\n \nTiming of surgery for ruptured supratentorial arteriovenous malformations. Acta Neurochir (Wien). \n2017;\n159(\n11):\n2103\u2013\n2112.\n10.1007\/s00701-017-3315-928894970"},{"key":"b20","series-title":"Intracranial Pressure and Brain Monitoring XII","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1007\/3-211-32318-X_60","article-title":"Assessment of the relationship between age and continuous intracranial compliance","volume":"Vol 95","author":"Kiening KL","year":"2005","unstructured":"Kiening KL, \nSchoening W, \nUnterberg AW, \n\n \nAssessment of the relationship between age and continuous intracranial compliance. In: \n\nPoon WS, \nAvezaat CJJ, \nChan M, \n\n, eds. Intracranial Pressure and Brain Monitoring XII. \nVol 95. \nSpringer-Verlag Wien; \n2005:\n293\u2013\n297.\n10.1007\/3-211-32318-X_60"},{"issue":"9890","key":"b21","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1016\/S0140-6736(13)60986-1","article-title":"Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): a randomised trial","volume":"382","author":"Mendelow AD","year":"2013","unstructured":"Mendelow AD, \nGregson BA, \nRowan EN, \n\n \nEarly surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): a randomised trial. Lancet. \n2013;\n382(\n9890):\n397\u2013\n408.\n2372639310.1016\/S0140-6736(13)60986-1"},{"issue":"9457","key":"b22","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1016\/S0140-6736(05)70233-6","article-title":"Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomised trial","volume":"365","author":"Mendelow AD","year":"2005","unstructured":"Mendelow AD, \nGregson BA, \nFernandes HM, \n\n \nEarly surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomised trial. Lancet. \n2005;\n365(\n9457):\n387\u2013\n397.\n10.1016\/S0140-6736(05)70233-615680453"},{"issue":"6","key":"b23","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1161\/01.STR.32.6.1458","article-title":"AHA Scientific Statement: Recommendations for the management of intracranial arteriovenous malformations: a statement for healthcare professionals from a special writing group of the Stroke Council, American Stroke Association","volume":"32","author":"Ogilvy CS","year":"2001","unstructured":"Ogilvy CS, \nStieg PE, \nAwad I, \n\n \nAHA Scientific Statement: Recommendations for the management of intracranial arteriovenous malformations: a statement for healthcare professionals from a special writing group of the Stroke Council, American Stroke Association. Stroke. \n2001;\n32(\n6):\n1458\u2013\n1471.\n10.1161\/01.STR.32.6.145811387517"},{"key":"b24","series-title":"Front Neurol Neurosci","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1159\/000437121","article-title":"Surgical strategies for acutely ruptured arteriovenous malformations","volume":"37","author":"Martinez JL","year":"2015","unstructured":"Martinez JL, \nMacdonald RL\n. \nSurgical strategies for acutely ruptured arteriovenous malformations. Front Neurol Neurosci. \n2015;\n37:\n166\u2013\n181.\n2658764110.1159\/000437121"},{"issue":"4","key":"b25","series-title":"Curr Atheroscler Rep","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1007\/s11883-012-0257-9","article-title":"Management of ruptured brain arteriovenous malformations","volume":"14","author":"Zacharia BE","year":"2012","unstructured":"Zacharia BE, \nVaughan KA, \nJacoby A, \n\n \nManagement of ruptured brain arteriovenous malformations. Curr Atheroscler Rep. \n2012;\n14(\n4):\n335\u2013\n342.\n2262308710.1007\/s11883-012-0257-9"},{"issue":"6","key":"b26","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1016\/j.surneu.2009.03.035","article-title":"Acute surgical removal of low-grade (Spetzler-Martin I-II) bleeding arteriovenous malformations","volume":"72","author":"Pavesi G","year":"2009","unstructured":"Pavesi G, \nRustemi O, \nBerlucchi S, \n\n \nAcute surgical removal of low-grade (Spetzler-Martin I-II) bleeding arteriovenous malformations. Surg Neurol. \n2009;\n72(\n6):\n662\u2013\n667.\n10.1016\/j.surneu.2009.03.03519604554"},{"key":"b27","series-title":"Handb Clin Neurol","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/B978-0-444-63640-9.00002-3","article-title":"The natural history of cerebral arteriovenous malformations","volume":"143","author":"Can A","year":"2017","unstructured":"Can A, \nGross BA, \nDu R\n. \nThe natural history of cerebral arteriovenous malformations. Handb Clin Neurol. \n2017;\n143:\n15\u2013\n24.\n10.1016\/B978-0-444-63640-9.00002-328552137"},{"key":"b28","series-title":"Clin Neuroradiol","article-title":"First line Onyx embolization in ruptured pediatric arteriovenous malformations: safety and efficacy","author":"Alias Q","year":"2019","unstructured":"Alias Q, \nBoulouis G, \nBlauwblomme T, \n\n \nFirst line Onyx embolization in ruptured pediatric arteriovenous malformations: safety and efficacy. Clin Neuroradiol. \n2019.\n31802150"},{"issue":"1","key":"b29","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"71","DOI":"10.3171\/2014.9.PEDS146","article-title":"Microsurgical treatment of arteriovenous malformations in pediatric patients: the Boston Children\u2019s Hospital experience","volume":"15","author":"Gross BA","year":"2015","unstructured":"Gross BA, \nStorey A, \nOrbach DB, \n\n \nMicrosurgical treatment of arteriovenous malformations in pediatric patients: the Boston Children\u2019s Hospital experience. J Neurosurg Pediatr. \n2015;\n15(\n1):\n71\u2013\n77.\n2536085510.3171\/2014.9.PEDS146"},{"issue":"8","key":"b30","series-title":"Can J Anaesth","doi-asserted-by":"publisher","first-page":"758","DOI":"10.1007\/BF03019478","article-title":"Emergency management of deeply comatose children with acute rupture of cerebral arteriovenous malformations","volume":"47","author":"Meyer PG","year":"2000","unstructured":"Meyer PG, \nOrliaguet GA, \nZerah M, \n\n \nEmergency management of deeply comatose children with acute rupture of cerebral arteriovenous malformations. Can J Anaesth. \n2000;\n47(\n8):\n758\u2013\n766.\n1095809210.1007\/BF03019478"},{"issue":"6","key":"b31","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1159\/000121140","article-title":"Choices in the 1990s for the management of pediatric cerebral arteriovenous malformations","volume":"25","author":"Humphreys RP","year":"1996","unstructured":"Humphreys RP, \nHoffman HJ, \nDrake JM, \nRutka JT\n. \nChoices in the 1990s for the management of pediatric cerebral arteriovenous malformations. Pediatr Neurosurg. \n1996;\n25(\n6):\n277\u2013\n285.\n10.1159\/0001211409348147"},{"issue":"1","key":"b32","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1007\/s00381-004-1025-0","article-title":"Surgical results in pediatric Spetzler-Martin grades I-III intracranial arteriovenous malformations","volume":"21","author":"Kiri\u015f T","year":"2005","unstructured":"Kiri\u015f T, \nSencer A, \nSahinba\u015f M, \n\n \nSurgical results in pediatric Spetzler-Martin grades I-III intracranial arteriovenous malformations. Childs Nerv Syst. \n2005;\n21(\n1):\n69\u2013\n76.\n10.1007\/s00381-004-1025-015322842"},{"issue":"1","key":"b33","series-title":"Can J Neurol Sci","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1017\/S0317167100042517","article-title":"Arteriovenous malformations of the brain in children: a forty year experience","volume":"19","author":"Kondziolka D","year":"1992","unstructured":"Kondziolka D, \nHumphreys RP, \nHoffman HJ, \n\n \nArteriovenous malformations of the brain in children: a forty year experience. Can J Neurol Sci. \n1992;\n19(\n1):\n40\u2013\n45.\n156290610.1017\/S0317167100042517"},{"issue":"2 Suppl","key":"b34","series-title":"J Neurosurg","first-page":"82","article-title":"Superior outcomes in children compared with adults after microsurgical resection of brain arteriovenous malformations","volume":"105","author":"Sanchez-Mejia RO","year":"2006","unstructured":"Sanchez-Mejia RO, \nChennupati SK, \nGupta N, \n\n \nSuperior outcomes in children compared with adults after microsurgical resection of brain arteriovenous malformations. J Neurosurg. \n2006;\n105(\n2 Suppl):\n82\u2013\n87.\n16922067"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/27\/4\/article-p437.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/27\/4\/article-p437.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/27\/4\/article-p437.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:55:28Z","timestamp":1792806928000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/27\/4\/article-p437.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":34,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/2020.8.peds20479","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}