Tominaga Shinsuke, Kugai Miyahito, Matsuda Kou, Yamazato Keisho, Inui Toshihiko, Kitano Masahiko, Hasegawa Hiroshi
Department of Neurosurgery, Tominaga Hospital, Naniwa-ku, Osaka, Japan.
Neurosurg Focus Video. 2021 Jan 1;4(1):V11. doi: 10.3171/2020.10.FOCVID2063. eCollection 2021 Jan.
Surgical treatment of brainstem arteriovenous malformation (AVM) is challenging and associated with a higher risk of complications and a lower rate of gross-total resection. The authors present their experience with the surgical management of lateral pontine AVM using the middle cerebellar peduncle approach. All cases presented with neurological deficits that were caused by hemorrhage before surgery. In all cases, the AVM was not visualized on postoperative angiography, and there was no deterioration of neurological symptoms. In this video, the authors report the treatment results of one case and describe the technique with a review of the literature. The video can be found here: https://youtu.be/bFvEMtMnrKw.
脑干动静脉畸形（AVM）的外科治疗具有挑战性，且并发症风险较高，全切率较低。作者介绍了他们采用小脑中间脚入路手术治疗外侧脑桥AVM的经验。所有病例术前均因出血出现神经功能缺损。所有病例术后血管造影均未显示AVM，且神经症状无恶化。在本视频中，作者报告了1例的治疗结果，并结合文献回顾描述了该技术。视频链接如下：https://youtu.be/bFvEMtMnrKw 。
