Spetzler-Ponce Classification

The Spetzler-Ponce classification is used to assess the treatment of AVMs in three grades based on the Spetzler-Martin classification and was published by Spetzler et al. in 2011[^1].

Classification

Grade

<b>Spetzler-Martin grade</b>

Management

A

I & II

Resection

B

III

Multimodal

C

IV & V

Conservative management *

* Exceptions for the treatment of grade C AVMs include: recurrent hemorrhages, progressive neurological deficits, steal-related symptoms, and AVM-associated aneurysms[^1].

Figure

Spetzler-Ponce classification
Original figure of the Spetzler-Ponce AVM classification. Figure adapted from the original publication by Spetzler et al. 2011.
Spetzler-Ponce grade A
Original figure of the Spetzler-Ponce AVM classification. Figure adapted from the original publication by Spetzler et al. 2011.
Spetzler-Ponce grade B
Original figure of the Spetzler-Ponce AVM classification. Figure adapted from the original publication by Spetzler et al. 2011.
Spetzler-Ponce grade C
Original figure of the Spetzler-Ponce AVM classification. Figure adapted from the original publication by Spetzler et al. 2011.

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  • Citation added: “Spetzler, Robert F., and Francisco A. Ponce. "A 3-tier classification of cerebral arteriovenous malformations." Journal of neurosurgery 114.3 (2011): 842-849.”
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