1naresh
Array ( [urn:ac.highwire.org:guest:identity] => Array ( [runtime-id] => urn:ac.highwire.org:guest:identity [type] => guest [service-id] => ajnr-ac.highwire.org [access-type] => Controlled [privilege] => Array ( [urn:ac.highwire.org:guest:privilege] => Array ( [runtime-id] => urn:ac.highwire.org:guest:privilege [type] => privilege-set [privilege-set] => GUEST ) ) [credentials] => Array ( [method] => guest ) ) ) 1nareshArray ( [urn:ac.highwire.org:guest:identity] => Array ( [runtime-id] => urn:ac.highwire.org:guest:identity [type] => guest [service-id] => ajnr-ac.highwire.org [access-type] => Controlled [privilege] => Array ( [urn:ac.highwire.org:guest:privilege] => Array ( [runtime-id] => urn:ac.highwire.org:guest:privilege [type] => privilege-set [privilege-set] => GUEST ) ) [credentials] => Array ( [method] => guest ) ) )Table 2:Summary of pros and cons of brain VM screening for children with HHT
Pros Cons Detect brain VM before rupture, allowing experts to determine whether treatment may be beneficial before a child has neurologic disability or even death Uncertain benefit of treatment of unruptured brain AVMs based on adult data from patients with sporadic AVMs Allow VMs that do not require treatment upon identification to be monitored with serial imaging to detect changes that may cause experts to decide to treat the VM Need for sedation in some children MR images that detect blood products can evaluate signs of asymptomatic bleeding, which may assist in risk stratification Causes anxiety for some parents and children if a brain VM is identified