初心者の脳動静脈奇形摘出術

概要

論文の詳細を見る
Surgical resection of cerebral arteriovenous malformations (AVMs) is a certain but difficult treatment because of its complicated pathology and the sometimes limited experience of the neurosurgeon. Therefore, care in deciding the surgical indication and strategy is essential. We report three cases of AVMs from the viewpoint of an inexperienced neurosurgeon. Preoperative embolization was performed in all cases, while in one patient there was a hemorrhagic complication causing neurological deterioration. All AVMs were extirpated with established techniques and procedures. For a beginner in AVM surgery, the proper selection of cases was thought to be most important. As for the surgical technique, extensive opening of the sulci and fissures, proximal control by temporary clip application on feeders and blunt dissection of the nidus without coagulation were indispensable.
一般社団法人日本脳卒中の外科学会の論文