Catapano Joshua S, Singh Rohin, Srinivasan Visish M, Lawton Michael T
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
Neurosurg Focus Video. 2021 Jan 1;4(1):V4. doi: 10.3171/2020.10.FOCVID2073. eCollection 2021 Jan.
Arteriovenous malformations (AVMs) in the brainstem, specifically medullary AVMs, are exceedingly rare and difficult to treat. These lesions are commonly more aggressive than supratentorial AVMs and pose their own unique treatment challenges. Current treatment options for these AVMs consist of endovascular embolization or open surgery. Radiosurgery is not favored because it is associated with potential risk to the brainstem and lower obliteration rates. Here the authors report the case of a 27-year-old man with a ruptured anterior medullary AVM. The patient underwent a successful far-lateral craniotomy for resection of the AVM. The video can be found here: https://youtu.be/lyOfOQ3sBdU.
脑干动静脉畸形(AVM),尤其是延髓AVM,极为罕见且治疗困难。这些病变通常比幕上AVM更具侵袭性,并且带来其自身独特的治疗挑战。目前针对这些AVM的治疗选择包括血管内栓塞或开颅手术。不提倡采用放射外科治疗,因为它与脑干潜在风险以及较低的闭塞率相关。在此,作者报告了一名27岁患有前延髓AVM破裂的男性病例。该患者接受了成功的远外侧开颅手术以切除AVM。视频可在此处找到:https://youtu.be/lyOfOQ3sBdU 。