Microsurgical Management of Vascular Malformations of the Pineal Region

Autor: Roberto Colasanti, Juhani Collan, Juha Hernesniemi, Julio C. Resendiz-Nieves, Joham Choque-Velasquez
Přispěvatelé: Clinicum, Neurokirurgian yksikkö, Department of Neurosciences, HUS Neurocenter, Department of Oncology, University of Helsinki, HUS Comprehensive Cancer Center
Rok vydání: 2018
Předmět:
Male
Microsurgery
medicine.medical_treatment
Pineal Gland
3124 Neurology and psychiatry
Neurosurgical Procedures
0302 clinical medicine
Posterior Choroidal Artery
Occlusion
Embolization
Child
Aged
80 and over
BRAIN ARTERIOVENOUS-MALFORMATIONS
CAVERNOUS MALFORMATIONS
Arteriovenous malformation
Middle Aged
EMBOLIZATION
Cavernous malformations
3. Good health
Vein of Galen malformation
Child
Preschool
030220 oncology & carcinogenesis
Female
Microneurosurgery
Radiology
Neurosurgery
Adult
Intracranial Arteriovenous Malformations
medicine.medical_specialty
Vascular malformations
CLINICAL ARTICLE
GALEN MALFORMATIONS
Radiosurgery
03 medical and health sciences
Aneurysm
SITTING POSITION
Multidisciplinary management
medicine
Humans
Aged
Retrospective Studies
LESIONS
business.industry
VEIN
3112 Neurosciences
Infant
3126 Surgery
anesthesiology
intensive care
radiology
medicine.disease
ENDOVASCULAR TREATMENT
Pineal region lesions
Surgery
Neurology (clinical)
NEUROSURGERY
business
030217 neurology & neurosurgery
Zdroj: World Neurosurgery. 117:e669-e678
ISSN: 1878-8750
DOI: 10.1016/j.wneu.2018.06.110
Popis: BACKGROUND: Vascular pineal malformations are rare and technically demanding lesions. Because the locations of these lesions, endovascular techniques and radiosurgery have been increasingly used in the recent decades to accomplish safe occlusion. Nevertheless, microsurgical treatment may be required sometimes. METHODS: We present a retrospective review of the vascular pineal malformations operated by the senior author. Moreover, we report illustrative cases for the various types of vascular lesions with a careful analysis of the different microsurgical stages. RESULTS: Eighteen patients with pineal vascular lesions were operated on between 1980 and 2015: 6 patients had vein of Galen malformations, 5 plexiform arteriovenous malformations, 6 cavernous malformations, and 1 patient had a ruptured medial posterior choroidal artery aneurysm. A complete resection and occlusion was possible in all vascular malformations. CONCLUSIONS: The pineal region is an infrequent but challenging location for vascular lesions. A careful and step-wise operative strategy for the different types of vascular lesion is paramount to accomplish an effective and safe microsurgical treatment when other alternatives fail or are not available.
Databáze: OpenAIRE
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