{"id":8838,"date":"2024-04-08T14:45:48","date_gmt":"2024-04-08T12:45:48","guid":{"rendered":"http:\/\/www.neurochirurgie-lariboisiere.com\/cerebral-arteriovenous-malformation-avm\/"},"modified":"2026-03-23T16:17:10","modified_gmt":"2026-03-23T15:17:10","slug":"cerebral-arteriovenous-malformation-avm","status":"publish","type":"page","link":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/vascular-neurosurgery\/cerebral-arteriovenous-malformation-avm\/","title":{"rendered":"Cerebral arteriovenous malformation (AVM)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8838\" class=\"elementor elementor-8838 elementor-7282\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6b23aa6d e-flex e-con-boxed e-con e-parent\" data-id=\"6b23aa6d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51e3223b elementor-widget elementor-widget-shortcode\" data-id=\"51e3223b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\r\n    <style>\r\n    .bc-nav { display:flex; 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font-weight:700;\">Offre de soins :<\/span><div class=\"bc-dropdown\"><button class=\"bc-dropdown-btn\" onclick=\"bcToggle('bc-cat')\">Vascular neurosurgery<\/button><div class=\"bc-dropdown-list\" id=\"bc-cat\"><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/pituitary-surgery\/\">Pituitary surgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/spine-surgery\/\">Spine surgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/hinge-deformities\/\">Hinge deformities<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/pain-surgery\/\">Pain surgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/vascular-neurosurgery\/\" class=\"current\">Vascular neurosurgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/neuro-oncology\/\">Neuro-oncology<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/epilepsy-surgery\/\">Epilepsy surgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/craniopharyngioma\/\">Craniopharyngioma<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/radiosurgery\/\">Radiosurgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/\">Skull base surgery<\/a><\/div><\/div><span style=\"color:#7AAAD4; margin:0 8px; font-size:13px;\">\u203a<\/span><div class=\"bc-dropdown\"><button class=\"bc-dropdown-btn active\" onclick=\"bcToggle('bc-sub')\">Cerebral arteriovenous malformation (AVM)<\/button><div class=\"bc-dropdown-list\" id=\"bc-sub\"><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/vascular-neurosurgery\/spinal-vascular-malformations\/\">Spinal vascular malformations<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/vascular-neurosurgery\/moya-moya-disease\/\">Moya Moya disease<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/vascular-neurosurgery\/cerebrovascular-malformations\/\">Cerebral and Spinal Vascular Pathologies<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/vascular-neurosurgery\/aneurysm\/\">Aneurysm<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/vascular-neurosurgery\/cerebral-arteriovenous-malformation-avm\/\" class=\"current\">Cerebral arteriovenous malformation (AVM)<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/vascular-neurosurgery\/cavernoma\/\">Cavernoma<\/a><\/div><\/div><\/nav><\/div>\n\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-307de226 e-flex e-con-boxed e-con e-parent\" data-id=\"307de226\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-140790da e-con-full e-flex e-con e-child\" data-id=\"140790da\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7367416c elementor-widget elementor-widget-pix-vertical-tabs\" data-id=\"7367416c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-vertical-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"\"  ><div class=\"row pix-waiting pix_tabs_container\"><div class=\"col-12 col-md-4 d-inline-block\"><div class=\"sticky-top\" style=\"top:110px;\"><div class=\"nav pix_tabs_btns text-left flex-column nav-pills pix-pills-1\" role=\"tablist\" id=\"v-pills-tab\"  aria-orientation=\"vertical\" ><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2 active font-weight-bold  secondary-font\" data-id=\"7367416c-7f6c346\" role=\"tab\" id=\"pix-tab-btn-7367416c-7f6c346\" data-toggle=\"pill\" href=\"#pix-tab-7367416c-7f6c346\"  aria-controls=\"pix-tab-7367416c-7f6c346\">What is a cerebral vascular malformation?<\/a><\/div><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2  font-weight-bold  secondary-font\" data-id=\"7367416c-40dc23d\" role=\"tab\" id=\"pix-tab-btn-7367416c-40dc23d\" data-toggle=\"pill\" href=\"#pix-tab-7367416c-40dc23d\"  aria-controls=\"pix-tab-7367416c-40dc23d\">How do they manifest themselves?<\/a><\/div><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2  font-weight-bold  secondary-font\" data-id=\"7367416c-4569fe2\" role=\"tab\" id=\"pix-tab-btn-7367416c-4569fe2\" data-toggle=\"pill\" href=\"#pix-tab-7367416c-4569fe2\"  aria-controls=\"pix-tab-7367416c-4569fe2\">Therapeutic methods used in vascular neurosurgery<\/a><\/div><\/div><\/div><\/div><div class=\"col-12 col-md-8 d-inline-block\"><div class=\"pix_tabs_content\"><div class=\"tab-content \"><div class=\"tab-pane active fade show \" role=\"tabpanel\" id=\"pix-tab-7367416c-7f6c346\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"7367416c-7f6c346\" data-icon=\"\" data-title=\"What is a cerebral vascular malformation?\" aria-labelledby=\"pix-tab-7367416c-7f6c346\"><div class=\"adenome-page\">\n\n<div class=\"adenome-intro\">\nCerebral or spinal (medullary) arteriovenous malformations (AVMs) may be congenital or acquired. They consist of a <span class=\"mc\">nidus<\/span>, i.e., an abnormal tangle of connections between small arteries and veins, without passage through a normal capillary network. \n<\/div>\n\n<section class=\"section-block\">\n<h3>Anatomy of an AVM<\/h3>\n\n<p>Blood comes from healthy arteries and drains into the venous system, bypassing the normal capillary network.<\/p>\n\n<div class=\"figure-3col\">\n  <div class=\"figure-3col-item\">\n    <a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/2026\/03\/imageMAV-1.png\" target=\"_blank\" rel=\"noopener\">\n      <img decoding=\"async\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/2026\/03\/imageMAV-1.png\" alt=\"Cerebral arteriovenous malformation \u2014 diagram 1\" style=\"max-width:220px;\">\n    <\/a>\n  <\/div>\n  <div class=\"figure-3col-item\">\n    <a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/2026\/03\/MAV-2.png\" target=\"_blank\" rel=\"noopener\">\n      <img decoding=\"async\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/2026\/03\/MAV-2.png\" alt=\"Cerebral arteriovenous malformation \u2014 diagram 2\" style=\"max-width:220px;\">\n    <\/a>\n  <\/div>\n  <div class=\"figure-3col-item\"><\/div>\n<\/div>\n<\/section>\n\n<section class=\"section-block\">\n<h3>Natural history of AVMs<\/h3>\n\n<p>Over time, the angioarchitecture of an AVM may change:<\/p>\n\n<ul class=\"traitements-list\">\n  <li><strong>Increase in size<\/strong><\/li>\n  <li><strong>Development of arterial aneurysms<\/strong><\/li>\n  <li><strong>Seizures<\/strong><\/li>\n  <li><strong>Bleeding<\/strong> \u2014 the spontaneous risk is estimated at <span class=\"mc\">2 to 4% per year<\/span>, and is higher when the AVM has already bled and has not been treated<\/li>\n<\/ul>\n<\/section>\n\n<section class=\"section-block\">\n<h3>Spetzler-Martin classification<\/h3>\n\n<p>AVMs are classified according to their location, size, and venous drainage (superficial or deep).<\/p>\n\n<div class=\"figure-3col\" style=\"grid-template-columns: 1fr 2fr;\">\n  <div class=\"figure-3col-item\">\n    <a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/2026\/03\/Mav-3.png\" target=\"_blank\" rel=\"noopener\">\n      <img decoding=\"async\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/2026\/03\/Mav-3.png\" alt=\"Spetzler-Martin classification of AVMs\" style=\"max-width:220px;\">\n    <\/a>\n  <\/div>\n  <div class=\"figure-3col-legend\">\n    <ul>\n      <li><strong>Grades I and II<\/strong> \u2014 often curable<\/li>\n      <li><strong>Grade III<\/strong> \u2014 treatment is possible but with a higher risk of complications<\/li>\n      <li><strong>Grades IV and V<\/strong> \u2014 complex forms for which the risk of complete treatment is generally too high. Selective treatment of the area responsible for the bleeding is sometimes possible. <\/li>\n    <\/ul>\n    <p>Research may offer new alternatives, notably through <strong>targeted therapies<\/strong>.<\/p>\n  <\/div>\n<\/div>\n<\/section>\n\n<section class=\"section-block\">\n<h3>Diagnosis and management<\/h3>\n\n<p>When an AVM is discovered incidentally on an MRI or CT scan, an <strong>additional angiographic assessment<\/strong> may be proposed. The management strategy is then discussed in a <strong>multidisciplinary meeting<\/strong> by the vascular team. <\/p>\n\n<p>In the event of bleeding, treatment is generally considered promptly due to the risk of recurrence, depending on feasibility.<\/p>\n<\/section>\n\n<section class=\"section-block\">\n<h3>Therapeutic options<\/h3>\n\n<p>The choice depends on the characteristics of the AVM and the patient\u2019s condition:<\/p>\n\n<ul class=\"traitements-list\">\n  <li><strong>Endovascular<\/strong><\/li>\n  <li><strong>Surgical<\/strong><\/li>\n  <li><strong>Radiotherapy<\/strong><\/li>\n  <li><strong>Combined surgical and endovascular<\/strong><\/li>\n  <li><strong>Combined endovascular and radiotherapy<\/strong><\/li>\n  <li><strong>Combined endovascular, surgical, and radiotherapy<\/strong><\/li>\n<\/ul>\n<\/section>\n\n<div class=\"adenome-footer\"><strong>General medical information:<\/strong> This page provides educational information and does not replace a medical consultation. No health decisions should be made without personalized medical advice.<\/div>\n\n<\/div><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-7367416c-40dc23d\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"7367416c-40dc23d\" data-icon=\"\" data-title=\"How do they manifest themselves?\" aria-labelledby=\"pix-tab-7367416c-40dc23d\"><p>What vascular malformations have in common is that they can manifest themselves suddenly as haemorrhage:<\/p><ul class=\"spip\"><li>haemorrhage around the brain in the subarachnoid spaces called subarachnoid haemorrhage or meningeal haemorrhage<\/li><li>cerebral hemorrhage or cerebellar hemorrhage in the brain or cerebellum<\/li><li>cerebro-meningeal hemorrhage when the hemorrhage is both in the sub-arachnoid spaces and in the brain.<\/li><\/ul><p>These vascular malformations may also be discovered incidentally during a CT or MRI scan performed to look for something else.<\/p><p>Finally, they can manifest as epilepsy.<\/p><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-7367416c-4569fe2\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"7367416c-4569fe2\" data-icon=\"\" data-title=\"Therapeutic methods used in vascular neurosurgery\" aria-labelledby=\"pix-tab-7367416c-4569fe2\"><p>Early diagnosis and multidisciplinary management is the key to effective treatment of these tumors.<\/p><p>Because of their location, injuries to the base of the skull can cause a wide range of symptoms, including visual, hearing, smell, balance and swallowing disorders, headaches, facial asymmetry, sensitivity disorders and\/or facial pain, nasal obstruction, vertigo...<\/p><p><strong>Cerebral<\/strong> <strong>CT<\/strong> and<strong>MRI<\/strong> scans are the main tests used to identify the lesion. CT scans enable precise assessment of bone structures, but lack spatial resolution for soft tissues. MRI enables precise assessment of the soft tissues, the lesion and its relationship with surrounding structures. Other tests may be ordered depending on the type and location of the suspected lesion:<\/p><p>- <strong>cerebral angioscan, MRI angiography and\/or arteriography<\/strong> to assess the vascularity of the lesion, its relationship with the major vessels supplying the brain, such as the internal carotid and vertebral arteries, and the anatomy of the cerebral drainage veins, in order to preserve them as much as possible,<\/p><p>- <strong>an ophthalmological check-up<\/strong><\/p><p>-<strong>an ENT check-up<\/strong> to assess hearing, balance and swallowing skills<\/p><p>-<strong>an endocrinological check-up<\/strong> to assess any possible repercussions of the lesion on the functioning of the pituitary gland, a small gland connected to the brain and located at the center of the skull base<\/p><p>etc...<\/p><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\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 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800ms;\">r<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 18.181818181818ms;transition-duration: 800ms;\">o<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 27.272727272727ms;transition-duration: 800ms;\">s<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 36.363636363636ms;transition-duration: 800ms;\">p<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 45.454545454545ms;transition-duration: 800ms;\">e<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 54.545454545455ms;transition-duration: 800ms;\">c<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 63.636363636364ms;transition-duration: 800ms;\">t<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 72.727272727273ms;transition-duration: 800ms;\">i<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 81.818181818182ms;transition-duration: 800ms;\">v<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 90.909090909091ms;transition-duration: 800ms;\">e<\/span><\/span> <span class=\"slide-in-container\"><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 100ms;transition-duration: 800ms;\">P<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 112.5ms;transition-duration: 800ms;\">a<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 125ms;transition-duration: 800ms;\">t<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 137.5ms;transition-duration: 800ms;\">i<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 150ms;transition-duration: 800ms;\">e<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 162.5ms;transition-duration: 800ms;\">n<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 175ms;transition-duration: 800ms;\">t<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 187.5ms;transition-duration: 800ms;\">s<\/span><\/span> <\/h1><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-191d0f0a elementor-invisible elementor-widget elementor-widget-pix-text\" data-id=\"191d0f0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pix-el-text w-100 text-center \" ><div class=\"d-inline-block\" style=\"max-width:500px;\"><p class=\" resp-option text-light-opacity-7 text-center \" ><span class=\"text-light-opacity-7 animate-in d-inline-block\" data-anim-delay=\"150\" data-anim-type=\"fade-in-down\">Your stay is our priority, and we have established a patient pathway program for your surgical schedule, admission\n and intervention, through to your discharge. Please do not hesitate to contact us if you have any questions.<\/span><\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56b17d8b elementor-widget elementor-widget-pix-button\" data-id=\"56b17d8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"https:\/\/8f1e-11d1aafe0b85.wptiger.fr\/votre-sejour-parcourspatient\/\" class=\"btn m-0      text-heading-default btn-white d-inline-flex align-items-center pix-hover-item       animate-in btn-md\" data-anim-type=\"fade-in-down\" data-anim-delay=\"300\" target=\"_blank\" rel=\"noopener\"><span class=\"font-weight-bold \" >Your stay<\/span><svg class=\"pixfort-icon font-weight-bold  pix-hover-right  ml-2\" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-arrow-right-circle-2\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M12,2 C6.4771525,2 2,6.4771525 2,12 C2,17.5228475 6.4771525,22 12,22 C17.5228475,22 22,17.5228475 22,12 C22,6.4771525 17.5228475,2 12,2 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M11.2071068,7.29289322 L15.2071068,11.2928932 C15.5976311,11.6834175 15.5976311,12.3165825 15.2071068,12.7071068 L11.2071068,16.7071068 C10.8165825,17.0976311 10.1834175,17.0976311 9.79289322,16.7071068 C9.40236893,16.3165825 9.40236893,15.6834175 9.79289322,15.2928932 L13.085,12 L9.79289322,8.70710678 C9.40236893,8.31658249 9.40236893,7.68341751 9.79289322,7.29289322 C10.1834175,6.90236893 10.8165825,6.90236893 11.2071068,7.29289322 Z\"\/><\/g><\/svg><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6d97d813 e-con-full e-flex e-con e-child\" data-id=\"6d97d813\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t<div class=\"pix-base-transition elementor-element elementor-element-54e98747 e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"54e98747\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-32edb221 elementor-widget elementor-widget-pix-feature\" data-id=\"32edb221\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-feature.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"\/patient\/informations-pratiques\/\" ><div id=\"pix-feature-32edb221\" class=\"pix-feature-el  text-custom \"><div class=\"pix-feature-icon d-inline-block mw-100 text-white \"   style=\"aspect-ratio:1\/1 !important;position:relative;text-align:center;font-size:1px;line-height:1px;\"><svg class=\"pixfort-icon \" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-information-circle-1\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M12,2 C6.4771525,2 2,6.4771525 2,12 C2,17.5228475 6.4771525,22 12,22 C17.5228475,22 22,17.5228475 22,12 C22,6.4771525 17.5228475,2 12,2 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M12.15,8.475 L11.85,8.475 C11.2977153,8.475 10.85,8.02728475 10.85,7.475 L10.85,7.025 C10.85,6.47271525 11.2977153,6.025 11.85,6.025 L12.15,6.025 C12.7022847,6.025 13.15,6.47271525 13.15,7.025 L13.15,7.475 C13.15,8.02728475 12.7022847,8.475 12.15,8.475 Z M12,18 C12.5522847,18 13,17.5522847 13,17 L13,10.5 C13,9.94771525 12.5522847,9.5 12,9.5 C11.4477153,9.5 11,9.94771525 11,10.5 L11,17 C11,17.5522847 11.4477153,18 12,18 Z\"\/><\/g><\/svg><\/div><h5 class=\"pix-feature-title  font-weight-bold   text-white \" style=\"padding-top:20px;\"  >Practical Information<\/h5><div class=\"pix-feature-content text-body-default      \" style=\"\"  ><\/div><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"pix-base-transition elementor-element elementor-element-1b64f82f e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"1b64f82f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-64a611a7 elementor-widget elementor-widget-pix-feature\" data-id=\"64a611a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-feature.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"\/prendre-un-rdv\/\" ><div id=\"pix-feature-64a611a7\" class=\"pix-feature-el  text-custom \"><div class=\"pix-feature-icon d-inline-block mw-100 text-white \"   style=\"aspect-ratio:1\/1 !important;position:relative;text-align:center;font-size:1px;line-height:1px;\"><svg class=\"pixfort-icon \" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-calendar-3\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M2,10 L2,18.7857143 C2,20.5609153 3.34314575,22 5,22 L19,22 C20.6568542,22 22,20.5609153 22,18.7857143 L22,10 L2,10 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M14,17 C14.5522847,17 15,17.4477153 15,18 C15,18.5522847 14.5522847,19 14,19 L7,19 C6.44771525,19 6,18.5522847 6,18 C6,17.4477153 6.44771525,17 7,17 L14,17 Z M17,13 C17.5522847,13 18,13.4477153 18,14 C18,14.5522847 17.5522847,15 17,15 L7,15 C6.44771525,15 6,14.5522847 6,14 C6,13.4477153 6.44771525,13 7,13 L17,13 Z M19,4 C20.6568542,4 22,5.34314575 22,7 L22,9 L2,9 L2,7 C2,5.34314575 3.34314575,4 5,4 L6,4 L6,6 C6,6.49091978 6.17687516,6.94052815 6.47037492,7.28857455 L6.58578644,7.41421356 C6.94771525,7.77614237 7.44771525,8 8,8 C8.55228475,8 9.05228475,7.77614237 9.41421356,7.41421356 C9.77614237,7.05228475 10,6.55228475 10,6 L10,4 L14,4 L14,6 C14,6.49091978 14.1768752,6.94052815 14.4703749,7.28857455 L14.5857864,7.41421356 C14.9477153,7.77614237 15.4477153,8 16,8 C16.5522847,8 17.0522847,7.77614237 17.4142136,7.41421356 C17.7761424,7.05228475 18,6.55228475 18,6 L18,4 L19,4 Z M8,2 C8.55228475,2 9,2.44771525 9,3 L9,6 C9,6.55228475 8.55228475,7 8,7 C7.44771525,7 7,6.55228475 7,6 L7,3 C7,2.44771525 7.44771525,2 8,2 Z M16,2 C16.5522847,2 17,2.44771525 17,3 L17,6 C17,6.55228475 16.5522847,7 16,7 C15.4477153,7 15,6.55228475 15,6 L15,3 C15,2.44771525 15.4477153,2 16,2 Z\"\/><\/g><\/svg><\/div><h5 class=\"pix-feature-title  font-weight-bold   text-white \" style=\"padding-top:20px;\"  >Make an appointment<\/h5><div class=\"pix-feature-content text-body-default      \" style=\"\"  ><\/div><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"pix-base-transition elementor-element elementor-element-3999950d e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"3999950d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-17ea6ca0 elementor-widget elementor-widget-pix-feature\" data-id=\"17ea6ca0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-feature.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"\/le-service\/\" ><div id=\"pix-feature-17ea6ca0\" class=\"pix-feature-el  text-custom \"><div class=\"pix-feature-icon d-inline-block mw-100 text-white \"   style=\"aspect-ratio:1\/1 !important;position:relative;text-align:center;font-size:1px;line-height:1px;\"><svg class=\"pixfort-icon \" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-users-2\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M8.5,3 C10.9852814,3 13,5.01471863 13,7.5 C13,9.98528137 10.9852814,12 8.5,12 C6.01471863,12 4,9.98528137 4,7.5 C4,5.01471863 6.01471863,3 8.5,3 Z M15.5,3 C17.9852814,3 20,5.01471863 20,7.5 C20,9.98528137 17.9852814,12 15.5,12 C14.4476244,12 13.4796227,11.6387526 12.7132352,11.0334979 C13.5168958,10.078042 14,8.84543853 14,7.5 C14,6.15456147 13.5168958,4.92195798 12.7146919,3.96619398 C13.4796227,3.36124744 14.4476244,3 15.5,3 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M8.4,13 C5.798822,13 3.75396103,14.1726441 2.37901154,16.444405 C2.09548025,16.9101552 1.94454731,17.4473717 1.94370085,17.9953861 C1.9411563,19.6522375 3.28223338,20.9974471 4.9390849,21 L11.859375,21 C12.4084564,20.9991532 12.9453208,20.8484782 13.4133368,20.5642998 C14.8296962,19.7042892 15.2805792,17.8588724 14.4200494,16.4428566 C13.046039,14.1726441 11.001178,13 8.4,13 Z M15.4,13 C18.001178,13 20.046039,14.1726441 21.4200494,16.4428566 C22.2805792,17.8588724 21.8296962,19.7042892 20.4133368,20.5642998 C19.9453208,20.8484782 19.4084564,20.9991532 18.859375,21 L14.8368013,21.0013558 C16.2550737,19.8357918 16.6377146,17.7748139 15.656601,16.1603756 C14.946022,14.9863196 14.0919073,14.0471004 13.1043953,13.3493638 C13.8104463,13.117273 14.5774052,13 15.4,13 Z\"\/><\/g><\/svg><\/div><h6 class=\"pix-feature-title  font-weight-bold   text-white \" style=\"padding-top:20px;\"  >Service<\/h6><div class=\"pix-feature-content text-body-default      \" style=\"\"  ><\/div><\/div><\/a>\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\t\t<\/div>\n\t\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>What is a cerebral vascular malformation?How do they manifest themselves?Therapeutic methods used in vascular neurosurgery Cerebral or spinal (medullary) arteriovenous malformations (AVMs) may be congenital or acquired. They consist of a nidus, i.e., an abnormal tangle of connections between small&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":8886,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8838","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8838","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/comments?post=8838"}],"version-history":[{"count":4,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8838\/revisions"}],"predecessor-version":[{"id":662016,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8838\/revisions\/662016"}],"up":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8886"}],"wp:attachment":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/media?parent=8838"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}