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- Title
Microsurgical resection of an intramedullary glomus arteriovenous malformation in the high cervical spinal cord: retrograde dissection techniques of the nidus located between spinal tracts.
- Authors
Takai, Keisuke; Taniguchi, Makoto
- Abstract
Background: Spinal intramedullary arteriovenous malformations (AVMs) fed by an anterior spinal artery are surgically challenging vascular lesions. Method: We herein presented microsurgical resection techniques for an intramedullary glomus AVM located in the lateral part of the high cervical spinal cord with an operative video. These techniques included (1) a lateral suboccipital approach via cervical hemilaminectomy in the lateral position; (2) retrograde dissection of the AVM located between the spinal tracts; (3) coagulation and division of multiple narrow sulcal branches of the anterior spinal artery. Conclusion: Patients who underwent these techniques achieved good outcomes with minimal bleeding and morbidity.
- Subjects
SPINAL cord; DISSECTION; ARTERIOVENOUS malformation; MASTOID process; TISSUE wounds
- Publication
Acta Neurochirurgica, 2015, Vol 157, Issue 10, p1659
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-015-2531-4