Presentation_Dr_Awad

Presentation_Dr_Awad - Clinical Decisions in Cavernous...

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Clinical Decisions in Clinical Decisions in Cavernous Angiomas Cavernous Angiomas Issam A. Awad, MD, MSc, FACS, MA (hon) Professor of Neurosurgery Northwestern University Feinberg School of Medicine Evanston Northwestern Healthcare Evanston, Illinois Chairman, Scientific Advisory Board Angioma Alliance (www.angiomaalliance.com) QuickTimeª and a Graphics decompressor are needed to see this picture.
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Confirming the Diagnosis of CM and Assessing Prognosis Is it a CM? Is it solitary or multiple/familial? Is there an associated VM? Risks and Consequences of hemorrhage?
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Projecting Natural Risk of CM Likelihood of hemorrhage? (consider recent clinical behavior) Consequences of hemorrhage ( consider lesion location) Impact of hemorrhage(s) over lifetime (consider host’s life expectancy)
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Options Expectant-- medical therapy, regular surveillance CM microsurgical excision-- define threshold for intervention (preventive, after one bleed, near disability, etc…) Other options-- ? radiosurgery
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This note was uploaded on 12/21/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Presentation_Dr_Awad - Clinical Decisions in Cavernous...

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