Microsurgical treatment for cerebellomesencephalic fissure arteriovenous malformations after multiple sessions of endovascular treatment
Autor: | Richard Gonzalo Parraga Choque, Silvio Sarmento Lessa, Feres Chaddad-Neto, Christiane Monteiro de Siqueira Campos, Leonardo de Deus Silva, José Maria Campos Filho, Juan Alberto Paz-Archilla, Marcos Devanir Silva da Costa, Bruno Loof de Amorim |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Microsurgery Cerebrovascular medicine.medical_treatment Female adolescent Video Abstract Complete resection Lesion Arteriovenous malformation 03 medical and health sciences 0302 clinical medicine medicine Embolization Endovascular treatment business.industry medicine.disease Microsurgical treatment 030220 oncology & carcinogenesis Surgery Neurology (clinical) Radiology medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Surgical Neurology International |
ISSN: | 2152-7806 2229-5097 |
Popis: | Background: Arteriovenous malformations (AVMs) are relatively uncommon congenital vascular anomalies, and only 7–15% of AVMs occur in the posterior fossa. Most posterior fossa AVMs clinically present with hemorrhage and are associated with a high risk of neurological deficits and mortality. These malformations are associated with a high incidence of flow-related aneurysms. Endovascular treatment of infratentorial AVMs is challenging in pediatric patients. Case Description: We describe an 11-year-old female adolescent with cerebellar syndrome [Video 1], who was diagnosed with a cerebellomesencephalic fissure AVM. We observed a sequential increase in the size of the AVM after multiple sessions of endovascular treatment and performed successful microsurgical resection of the lesion. Conclusion: This illustrative video highlights the role of microsurgery as a feasible therapeutic strategy for complete resection of cerebellar AVMs after endovascular embolization. |
Databáze: | OpenAIRE |
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