Ventricular and Periventricular Arteriovenous Malformations

Aug 6, 2016 by in NEUROSURGERY Comments Off on Ventricular and Periventricular Arteriovenous Malformations

14 Ventricular and Periventricular Arteriovenous Malformations Microsurgical Anatomy Brain The cerebrum separates neatly into frontal, temporal, and parieto-occipital lobes, and arteriovenous malformations (AVMs) located in the cerebral hemispheres are based…

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Feeding Arteries

Aug 6, 2016 by in NEUROSURGERY Comments Off on Feeding Arteries

Related posts: Pial Dissection Draining Veins Parenchymal Dissection Patient Selection Cerebellar Arteriovenous Malformations Parieto-Occipital Arteriovenous Malformations

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Parenchymal Dissection

Aug 6, 2016 by in NEUROSURGERY Comments Off on Parenchymal Dissection

6 Parenchymal Dissection Circumdissection Parenchymal dissection detaches an arteriovenous malformation (AVM) from brain. Although pial dissection quickly exposes margins and closes superficial afferents, parenchymal dissection is lengthier and comprises two…

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Patient Selection

Aug 6, 2016 by in NEUROSURGERY Comments Off on Patient Selection

18 Patient Selection Judicious patient selection is essential to avoid surgical complications and poor neurologic outcomes with microsurgical resection of brain arteriovenous malformations (AVMs); it is the secret to success….

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Ependymal/Deep Dissection

Aug 6, 2016 by in NEUROSURGERY Comments Off on Ependymal/Deep Dissection

7 Ependymal/Deep Dissection The Dark Side “Ependymal” dissection may be a confusing term because many arteriovenous malformations (AVMs) do not reach a ventricle, but it is meant to describe the…

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Exposure

Aug 6, 2016 by in NEUROSURGERY Comments Off on Exposure

1 Arteriovenous Malformation Exposure The Box Arteriovenous malformations (AVMs) come in many shapes: spheres, ellipses, cylinders, and, classically, cones. The cone is based on the cortical surface and tapers to…

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Draining Veins

Aug 6, 2016 by in NEUROSURGERY Comments Off on Draining Veins

3 Draining Veins Absolute Preservation The most basic and important tenet of arteriovenous malformation (AVM) surgery is that the draining vein must be preserved until the very end of the…

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Pial Dissection

Aug 6, 2016 by in NEUROSURGERY Comments Off on Pial Dissection

5 Pial Dissection Arterial Fronts Previous phases of dissection—arteriovenous malformation (AVM) exposure, subarachnoid approach, definition of draining veins, and the identification of feeding arteries—are mere saber-rattling. The AVM is surveyed…

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Subarachnoid Dissection

Aug 6, 2016 by in NEUROSURGERY Comments Off on Subarachnoid Dissection

2 Subarachnoid Dissection Reconnaissance Subarachnoid dissection is the calm before the clash, when the arteriovenous malformation (AVM) is approached, encountered, and surveyed under the microscope without salvo. The labyrinth of…

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