Soni Tushar V, Patel Hiren, Patel Mahendra G
Department of Neurosurgery, Smt. NHL Municipal Medical College & Sardar Vallabhbhai Patel Hospital, Ahmedabad, Gujarat, India.
Asian J Neurosurg. 2024 Jun 25;19(3):513-519. doi: 10.1055/s-0042-1750307. eCollection 2024 Sep.
Brain arteriovenous malformation (AVM) is a rare congenital disorder affecting young adults with an incidence of 0.94 per 100,000 population. Intracranial digital subtraction angiography has to be done in all patients and grading of AVM is done as per Spetzler-Martin grading. We report a rare case of left basal ganglia large AVM treated by endovascular embolization. Our experience with endovascular embolization using Onyx is successful in the treatment of large brain AVM. Endovascular embolization with Onyx is safe and feasible in deeply located large AVMs of the brain. Our patient has postoperatively recovered completely without any neurological deficit.
脑动静脉畸形(AVM)是一种罕见的先天性疾病,主要影响年轻人,发病率为每10万人中有0.94例。所有患者均需进行颅内数字减影血管造影,并根据Spetzler-Martin分级对AVM进行分级。我们报告了一例罕见的经血管内栓塞治疗的左基底节区大型AVM病例。我们使用Onyx进行血管内栓塞的经验在治疗大型脑AVM方面取得了成功。对于脑深部大型AVM,使用Onyx进行血管内栓塞是安全可行的。我们的患者术后完全康复,没有任何神经功能缺损。