Microsurgical approach of arteriovenous malformations in the central lobule

Arquivos de Neuro-Psiquiatria

Feres Chaddad-neto²  Andrei Fernandes Joaquim¹  Marcos Juliano Dos Santos¹  Paulo Wagner Linhares¹  Evandro De Oliveira¹ 

[1] ,Beneficência Portuguesa Hospital Institute of Neurological Sciences São Paulo SP ,Brazil

关键词: central sulcus;    central lobule;    arterio-venous malformation;    craniotomy;    sulco central;    lóbulo central;    malformação arteriovenosa;    craniotomia;   

DOI  :  10.1590/S0004-282X2008000600018

来源: SciELO

【 摘 要 】

Arteriovenous malformations (AVM) are neurovascular disorders that occur mainly in young adults. Their clinical presentation is variable and depends on its location, size and occurrence of bleeding. They can represent incidental findings in neuro radiological exams. The treatment of these lesions when located in eloquent areas, namely around the central sulcus, is controversial, with different therapeutical approaches presented in the literature. We consider that surgical extirpation of many of these lesions is feasible in selected cases , when supported by profound anatomical knowledge and refined microsurgical technique, achieving cure with minimal aditional deficit. In the present article, we elaborate a surgical technique for the approach of AVMs located in the central sulcus, specially in finding the topographic lesion location and craniotomy.

【 授权许可】

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