How I do it? A multimodality-guided awake hybrid operation for a language-area brain arteriovenous malformation and multiple intracranial aneurysms.
Acta Neurochir (Wien) 2022;
164:1297-1301. [PMID:
34993621 PMCID:
PMC8739020 DOI:
10.1007/s00701-021-05093-7]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 12/16/2021] [Indexed: 11/28/2022]
Abstract
Background
The cure of an eloquent brain arteriovenous malformation (BAVM) and multiple intracranial aneurysms with preservation of neurological function and the minimal procedures is challenging.
Method
A 53-year-old male was admitted to treat a left frontal language-area BAVM and concomitant five bilateral intracranial aneurysms. After repairing the ruptured right middle cerebral artery (MCA) bifurcation aneurysms and the other two unruptured ones, at the second-stage multimodality-guided awake hybrid operation, we successfully obliterated the left frontal BAVM and two other left MCA aneurysms.
Conclusion
The multimodality-guided awake hybrid operation may be a promising technique to treat complicated cerebrovascular disease.
Supplementary Information
The online version contains supplementary material available at 10.1007/s00701-021-05093-7.
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