• Oper Neurosurg (Hagerstown) · May 2020

    Case Reports

    Interhemispheric Craniotomy for Resection of Thalamic Arteriovenous Malformation: 2-Dimensional Operative Video.

    • Benjamin K Hendricks and Robert F Spetzler.
    • Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
    • Oper Neurosurg (Hagerstown). 2020 May 1; 18 (5): E157-E158.

    AbstractArteriovenous malformations (AVMs) that occupy the deep brain structures are a formidable challenge during neurosurgical intervention. The heightened hemorrhage risk associated with these lesions necessitates intervention that often requires multimodal management. This patient presented following a large intraventricular hemorrhage and finding of a left thalamic AVM. The patient then underwent preoperative embolization and a frontal interhemispheric transcallosal approach for resection. The AVM was disconnected through standard sequential coagulation of feeding arteries and draining veins, followed by nidus excision. Postoperative angiography confirmed complete AVM resection, and the patient tolerated the procedure well. The patient gave informed consent for surgery and video recording. Institutional review board approval was deemed unnecessary. Used with permission from Barrow Neurological Institute, Phoenix, Arizona.Copyright © 2020 by the Congress of Neurological Surgeons.

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