{"id":282,"date":"2025-10-23T12:48:37","date_gmt":"2025-10-23T10:48:37","guid":{"rendered":"https:\/\/www.chu-tours.fr\/neurochirurgie\/?page_id=282"},"modified":"2026-03-11T12:05:47","modified_gmt":"2026-03-11T11:05:47","slug":"malformations-arterio-veineuses","status":"publish","type":"page","link":"https:\/\/www.chu-tours.fr\/neurochirurgie\/pathologies-vasculaires\/malformations-arterio-veineuses\/","title":{"rendered":"Malformations art\u00e9rio-veineuses"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"282\" class=\"elementor elementor-282\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3409196 e-con-full e-flex e-con e-parent\" data-id=\"3409196\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9ed761e elementor-widget elementor-widget-global elementor-global-220 elementor-widget-html\" data-id=\"9ed761e\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<!-- FIL D\u2019ARIANE DYNAMIQUE - CHRU TOURS (VERSION JAVASCRIPT\/CHEVRONS) -->\r\n<div id=\"breadcrumb-js\" class=\"breadcrumb\"><\/div>\r\n\r\n<style>\r\n    .breadcrumb {\r\n        font-size: 14px;\r\n        font-family: \"Segoe UI\", sans-serif;\r\n        margin-bottom: 20px;\r\n        color: #555;\r\n        display: flex;\r\n        flex-wrap: wrap;\r\n        gap: 0.5em;\r\n        align-items: center;\r\n        background: #f4f6f8;       \/* fond gris clair (modifiable ou \u00e0 supprimer) *\/\r\n        padding: 8px 12px;\r\n        border-radius: 4px;\r\n    }\r\n\r\n    .breadcrumb a {\r\n        text-decoration: none;\r\n        color: #008c9e;            \/* couleur des liens cliquables *\/\r\n        font-weight: 600;\r\n        text-transform: capitalize;\r\n    }\r\n\r\n    .breadcrumb span {\r\n        color: #0d3182;            \/* couleur du dernier \u00e9l\u00e9ment (page active) *\/\r\n        font-weight: 600;\r\n        text-transform: capitalize;\r\n    }\r\n\r\n    .breadcrumb .separator {\r\n        font-weight: normal;\r\n        color: #888;\r\n        margin: 0 4px;\r\n    }\r\n<\/style>\r\n\r\n<script>\r\n    document.addEventListener(\"DOMContentLoaded\", function () {\r\n        const path = window.location.pathname.split(\"\/\").filter(p => p);\r\n        if (path.length === 0) return;\r\n\r\n        let html = '';\r\n        let fullPath = \"\";\r\n\r\n        path.forEach((segment, index) => {\r\n            fullPath += \"\/\" + segment;\r\n            const label = decodeURIComponent(segment.replace(\/[-_]\/g, \" \"))\r\n            .toLowerCase()\r\n            .replace(\/^\\w\/, c => c.toUpperCase());\r\n\r\n            if (index < path.length - 1) {\r\n                html += `<span class=\"separator\">\u203a<\/span><a href=\"${fullPath}\">${label}<\/a>`;\r\n            } else {\r\n                html += `<span class=\"separator\">\u203a<\/span><span>${label}<\/span>`;\r\n            }\r\n        });\r\n\r\n        const container = document.getElementById(\"breadcrumb-js\");\r\n        if (container) container.innerHTML = html;\r\n    });\r\n\r\n    \/*\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n\ud83c\udfa8 ASTUCES DE PERSONNALISATION (\u00e0 modifier au besoin)\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n\r\n1. Modifier la couleur du dernier niveau (page courante) :\r\n\u2192 dans le CSS : change `color: #0d3182;` dans `.breadcrumb span`\r\n\r\n2. Modifier la couleur ou le style des liens :\r\n\u2192 dans `.breadcrumb a`, tu peux ajuster :\r\n- color (ex: #0073aa)\r\n- font-weight\r\n- text-transform\r\n\r\n3. Supprimer le fond gris clair :\r\n\u2192 supprime `background: #f4f6f8;` dans `.breadcrumb`\r\n\r\n4. Centrer le fil d\u2019Ariane :\r\n\u2192 ajoute `justify-content: center;` dans `.breadcrumb`\r\n\r\n5. Changer le s\u00e9parateur :\r\n\u2192 remplace `\u203a` dans le code HTML g\u00e9n\u00e9r\u00e9 (`.separator`)\r\nPar exemple : `&raquo;` (pour \u00bb) ou `\/`\r\n\r\n6. Supprimer \"Accueil\" du d\u00e9but :\r\n\u2192 commente ou supprime : `let html = '<a href=\"\/\">Accueil<\/a>';`\r\n\r\n7. Ajouter une classe sp\u00e9cifique au dernier segment :\r\n\u2192 tu peux remplacer `<span>` par `<span class=\"current\">` et styler `.current` comme tu veux\r\n\r\n8. Forcer un affichage responsive encore plus propre :\r\n\u2192 dans `.breadcrumb`, tu peux ajouter `flex-wrap: wrap;` et g\u00e9rer les `gap` ou marges\r\n\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n*\/\r\n<\/script>\r\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9d353d3 e-con-full e-flex e-con e-parent\" data-id=\"9d353d3\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c6ff247 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"c6ff247\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h2>Qu\u2019est-ce qu\u2019une malformation art\u00e9rio-veineuse\u00a0?<\/h2><p style=\"text-align: justify;\"><strong>Les malformations art\u00e9rio-veineuses (MAV)<\/strong> correspondent \u00e0 des<strong> anomalies des vaisseaux <\/strong>avec l\u2019abouchement d\u2019une ou de plusieurs art\u00e8res directement dans une ou plusieurs veines sans passage \u00e0 travers des capillaires, appel\u00e9 <strong>shunt<\/strong>. Il en r\u00e9sulte un amas de vaisseaux dysplasiques appel\u00e9s le <strong>nidus<\/strong>.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-425514f e-flex e-con-boxed e-con e-parent\" data-id=\"425514f\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5ba6428 elementor-widget elementor-widget-image\" data-id=\"5ba6428\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"881\" height=\"592\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/MAV2.jpg\" class=\"attachment-full size-full wp-image-576\" alt=\"Malformation art\u00e9rioveineuse\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/MAV2.jpg 881w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/MAV2-300x202.jpg 300w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/MAV2-768x516.jpg 768w\" sizes=\"(max-width: 881px) 100vw, 881px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 1. Malformation art\u00e9rioveineuse (MAV ) <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-420da8b elementor-widget elementor-widget-text-editor\" data-id=\"420da8b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"font-size: 10pt; color: #808080;\"><em>Cr\u00e9dit Adobe stock | <a style=\"color: #808080;\" href=\"https:\/\/stock.adobe.com\/fr\/contributor\/206203859\/inspiring-team?load_type=author&amp;prev_url=detail\" target=\"_blank\" rel=\"noopener\" class=\"broken_link\">inspiring.team<\/a><\/em><\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33901fc e-con-full e-flex e-con e-parent\" data-id=\"33901fc\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fda0558 elementor-widget elementor-widget-text-editor\" data-id=\"fda0558\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"text-align: justify;\">Les MAV sont <strong>cong\u00e9nitales,<\/strong> surviennent chez des patients jeunes (moyenne d\u2019\u00e2ge de 33 ans) et ont une pr\u00e9valence de 0,14% dans la population. Elles ont tendance \u00e0 s\u2019\u00e9largir avec l\u2019\u00e2ge et peuvent se rompre occasionnant une <strong>h\u00e9morragie intrac\u00e9r\u00e9brale<\/strong> (risque annuel entre 2 et 4%).<\/p><h2 style=\"text-align: justify;\">Comment sont d\u00e9couvertes les MAV\u00a0?<\/h2><p style=\"text-align: justify;\">Le diagnostic des MAV se fait sur une imagerie c\u00e9r\u00e9brale (TDM ou IRM) lors d\u2019une h\u00e9morragie, de crises d\u2019\u00e9pilepsie ou de fa\u00e7on fortuite.<\/p><p style=\"text-align: justify;\">Une <strong>art\u00e9riographie <\/strong>sera propos\u00e9e syst\u00e9matiquement en cas de suspicion ou de diagnostic de MAV pour \u00e9valuer celle-ci et la classer.<\/p><h2 style=\"text-align: justify;\">Quels sont les prises en charge possibles ?<\/h2><p style=\"text-align: justify;\">4 types de prises en charge peuvent \u00eatre propos\u00e9es\u00a0: celle-ci peuvent \u00e9galement \u00eatre combin\u00e9es.<\/p><p style=\"text-align: justify;\">Les d\u00e9cisions de prise en charge sont discut\u00e9es en <strong>r\u00e9union de concertation pluridisciplinaire<\/strong> entre neuroradiologues et neurochirurgiens.<\/p><h3 style=\"text-align: justify;\">Surveillance<\/h3><p style=\"text-align: justify;\">Suivi par imagerie r\u00e9gulier de la MAV par imagerie et consultation avec un neurochirurgien ou neuroradiologue. Un traitement peut \u00eatre propos\u00e9 en cas d\u2019\u00e9volution de celle-ci.<\/p><h3 style=\"text-align: justify;\">Traitement endovasculaire<\/h3><p style=\"text-align: justify;\">Traitement par voie art\u00e9rielle et\/ou veineuse par les neuroradiologues (<a href=\"https:\/\/www.chu-tours.fr\/nri\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.chu-tours.fr\/nri\/<\/a>)<\/p><h3 style=\"text-align: justify;\">Radiochirurgie st\u00e9r\u00e9otaxique<\/h3><p style=\"text-align: justify;\">Traitement de la malformation art\u00e9rioveineuse par radioth\u00e9rapie.<\/p><h3 style=\"text-align: justify;\"><strong>Traitement Neurochirurgical<\/strong><\/h3><p style=\"text-align: justify;\">Ablation de la malformation art\u00e9rioveineuse par voie microchirurgicale.<\/p><p style=\"text-align: justify;\">Le patient est vu en consultation par son neurochirurgien qui lui explique les principes de la chirurgie\u00a0: sous anesth\u00e9sie g\u00e9n\u00e9rale, <strong>coagulation des vaisseaux anormaux et ablation du nidus<\/strong>.<\/p><p style=\"text-align: justify;\">Le patient est \u00e9galement inform\u00e9 des risques notamment de <strong>saignements,<\/strong> d\u2019isch\u00e9mie c\u00e9r\u00e9brale et \u00e9galement neurologique (en fonction de la localisation de la malformation).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-eea2356 e-flex e-con-boxed e-con e-parent\" data-id=\"eea2356\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-70db74b elementor-widget elementor-widget-image\" data-id=\"70db74b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"636\" height=\"624\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/MAV-fig1_v2.png\" class=\"attachment-full size-full wp-image-234\" alt=\"Malformations art\u00e9rio-veineuses (MAV)\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/MAV-fig1_v2.png 636w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/MAV-fig1_v2-300x294.png 300w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/MAV-fig1_v2-40x40.png 40w\" sizes=\"(max-width: 636px) 100vw, 636px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 1. MAV avant chirurgie<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2ad01db elementor-widget elementor-widget-spacer\" data-id=\"2ad01db\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9cf70b8 elementor-widget elementor-widget-image\" data-id=\"9cf70b8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"636\" height=\"624\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/MAV-fig2_v2.png\" class=\"attachment-full size-full wp-image-235\" alt=\"Malformations art\u00e9rio-veineuses (MAV)\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/MAV-fig2_v2.png 636w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/MAV-fig2_v2-300x294.png 300w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/MAV-fig2_v2-40x40.png 40w\" sizes=\"(max-width: 636px) 100vw, 636px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 2. Absence de reliquat apr\u00e8s exclusion chirurgicale de la MAV<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-193f4f7 e-con-full e-flex e-con e-parent\" data-id=\"193f4f7\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-003d559 elementor-widget elementor-widget-text-editor\" data-id=\"003d559\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>La dur\u00e9e d\u2019hospitalisation est de 4 \u00e0 7 nuits<\/strong>\u00a0:<\/p><ul><li>Arriv\u00e9e la veille de l\u2019intervention<\/li><li>2 nuits en unit\u00e9 de soins continus neurochirurgicale<\/li><li>1 \u00e0 3 nuits en hospitalisation compl\u00e8te<\/li><li>Puis <strong>retour \u00e0 domicile<\/strong><\/li><\/ul><p>Apr\u00e8s les diff\u00e9rents traitements, le patient est <strong>suivi <\/strong>r\u00e9guli\u00e8rement par son chirurgien avec des imageries de contr\u00f4le.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6fdfcaf e-con-full e-flex e-con e-parent\" data-id=\"6fdfcaf\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5b40b64 elementor-widget elementor-widget-toggle\" data-id=\"5b40b64\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-toggle{text-align:start}.elementor-toggle .elementor-tab-title{font-weight:700;line-height:1;margin:0;padding:15px;border-bottom:1px solid #d5d8dc;cursor:pointer;outline:none}.elementor-toggle .elementor-tab-title .elementor-toggle-icon{display:inline-block;width:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon svg{margin-inline-start:-5px;width:1em;height:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-right{float:right;text-align:right}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-left{float:left;text-align:left}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-closed{display:block}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-opened{display:none}.elementor-toggle .elementor-tab-title.elementor-active{border-bottom:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-closed{display:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-opened{display:block}.elementor-toggle .elementor-tab-content{padding:15px;border-bottom:1px solid #d5d8dc;display:none}@media (max-width:767px){.elementor-toggle .elementor-tab-title{padding:12px}.elementor-toggle .elementor-tab-content{padding:12px 10px}}.e-con-inner>.elementor-widget-toggle,.e-con>.elementor-widget-toggle{width:var(--container-widget-width);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9561\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-9561\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-caret-right\" viewBox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-caret-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M288.662 352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Bibliographie<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-9561\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-9561\"><ol start=\"1\"><li><p>Darsaut TE, Gentric JC, Heppner J, Lopez C, Jabre R, Iancu D, Roy D, Weill A, Bojanowski MW, Chaalala C, Comby PO, Roberge D, Cognard C, Januel AC, Sabatier JF, Desal H, Roualdes V, Ferre JC, Alias Q, Papagiannaki C, Derrey S, Smajda S, Aldea S, Gaberel T, Barbier C, Barreau X, Marnat G, Jecko V, Anxionnat R, Merlot I, Nguyen TN, Abdalkader M, Dumot C, Riva R, Graillon T, Troude L, Kerleroux B, Ollivier I, Beaujeux R, Boulouis G, Planty-Bonjour A, Spelle L, Chalumeau V, Naggara O, Lefevre PH, Le Corre M, Shotar E, Carlson AP, Biondi A, Thines L, Tawk RG, Huynh T, Fahed R, Findlay JM, Chabert E, Zehr J, Gevry G, Klink R, Viard G, Magro E, Raymond J; and the TOBAS Collaborative Group. Conservative management of brain arteriovenous malformations: results of the prospective observation registry of a pragmatic trial. J Neurosurg. 2024 Oct 11:1-10. doi: 10.3171\/2024.5.JNS24623. Epub ahead of print. PMID: 39393100.<\/p><\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Qu\u2019est-ce qu\u2019une malformation art\u00e9rio-veineuse\u00a0? Les malformations art\u00e9rio-veineuses (MAV) correspondent \u00e0 des anomalies des vaisseaux avec l\u2019abouchement d\u2019une ou de plusieurs art\u00e8res directement dans une ou plusieurs veines sans passage \u00e0 travers des capillaires, appel\u00e9 shunt. Il en r\u00e9sulte un amas de vaisseaux dysplasiques appel\u00e9s le nidus. Figure 1. Malformation art\u00e9rioveineuse (MAV ) Cr\u00e9dit Adobe stock [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":274,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"publishpress_future_action":{"enabled":false,"date":"2026-04-26 20:57:41","action":"change-status","newStatus":"draft","terms":[],"taxonomy":""},"_links":{"self":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/282"}],"collection":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/comments?post=282"}],"version-history":[{"count":7,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/282\/revisions"}],"predecessor-version":[{"id":592,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/282\/revisions\/592"}],"up":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/274"}],"wp:attachment":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/media?parent=282"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}