Details

Autor(en) / Beteiligte

• Lessa, Silvio Sarmento
• Paz-Archilla, Juan Alberto
• Amorim, Bruno Loof
• Filho, Jose Maria Campos
• de Siqueira Campos, Christiane Monteiro
• de Deus Silva, Leonardo
• Choque, Richard Gonzalo Parraga
• da Costa, Marcos Devanir Silva
• Chaddad-Neto, Feres

Titel

Microsurgical treatment for cerebellomesencephalic fissure arteriovenous malformations after multiple sessions of endovascular treatment

Ist Teil von

• Surgical neurology international, 2021-05, Vol.12, p.214, Article 214

Ort / Verlag

USA: Scientific Scholar

Erscheinungsjahr

2021

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• 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.