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57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

11. bis 14.05.2006, Essen

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Surgical and endovascular treatment for arteriovenous malformation around sylvian fissure

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  • corresponding author S. Kato - Department of Neurosurgery, Yamaguchi University School of Medicine
  • K. Kajiwara - Department of Neurosurgery, Yamaguchi University School of Medicine
  • M. Fujii - Department of Neurosurgery, Yamaguchi University School of Medicine
  • H. Fujisawa - Department of Neurosurgery, Yamaguchi University School of Medicine
  • S. Nomura - Department of Neurosurgery, Yamaguchi University School of Medicine
  • M. Suzuki - Department of Neurosurgery, Yamaguchi University School of Medicine

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. Essen, 11.-14.05.2006. Düsseldorf, Köln: German Medical Science; 2006. DocP 09.145

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2006/06dgnc362.shtml

Veröffentlicht: 8. Mai 2006

© 2006 Kato et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.

Gliederung

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Objective: Treatment of arteriovenous malformation (AVM) around sylvian fissure is challenging because of its anatomical location and complexity of feeding arteries. The purpose of this paper is focused on the surgical treatment and problem for sylvian fissure AVM.

Methods: Three patients with AVM around sylvian fissure were treated. They include two men and one woman and their age ranged from 18 to 54 years. All of these cases presented with intracerebral hemorrhage. Initial symptoms were headache in one, consciousness disturbance with hemiparesis in two. Spetzler and Martin grading were grade 3 in two cases and grade 4 in one. The niduses mainly seated in the sylvian fissure and extended to the basal ganglia and adjacent lobes. The feeding arteries were consisted of the branches of middle cerebral arteries. Two of them were treated by combination with embolization and surgical resection. One patient underwent embolization following stereotactic radiosurgery.

Results: Complete occlusion of the arteriovenous shunt was obtained in all cases. Normal branches of middle cerebral arteries were preserved. Glasgow Outcome Scale was good recovery in two and moderately disabled in one.

Conclusions: Sylvian fissure AVM was fed by multiple small feeders. In the treatment of AVM around sylvian fissure, meticulous identification of each branch of middle cerebral artery was important during the treatment.