Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, P.R. China.
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, P.R. China; Institute of Neuroscience, Third Affiliated Hospital, Zhengzhou University, Zhengzhou, P.R. China.
World Neurosurg. 2024 Jan;181:3-4. doi: 10.1016/j.wneu.2023.09.061. Epub 2023 Sep 23.
Spetzler-Martin grade V (>6 cm) arteriovenous malformations (AVMs) are traditionally considered inoperable. A 35-year-old man presented with repeated seizures for 7 years, and computed tomography arteriography and magnetic resonance imaging revealed left deep hemispheric AVM. A combination of embolization and surgical resection successfully achieved a cure of the patient. Well-equipped neurosurgery facilities can best manage selective Spetzler-Martin grade V AVMs with no neurologic deficits contrary to their traditionally inoperable concept. Successful surgery offers the patient a better quality of life.
Spetzler-Martin 分级 V 级（>6cm）动静脉畸形（AVM）传统上被认为是不可手术的。一名 35 岁男性因反复癫痫发作 7 年就诊，计算机断层血管造影和磁共振成像显示左侧深部半球 AVM。栓塞和手术切除的联合治疗成功治愈了患者。配备齐全的神经外科设备可以最好地管理选择性 Spetzler-Martin 分级 V 级 AVM，而不会出现神经功能缺陷，这与传统的不可手术概念相反。成功的手术为患者提供了更好的生活质量。
