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Case Reports
Subtemporal-Transtentorial Approach for Microsurgical Resection of Hemorrhagic Ambient Cistern AVM.
- Giacomo Bertolini, Alessia Fratianni, Thomas J Sorenson, Matteo Fantoni, Laura Belli, Roberto Menozzi, and Ermanno Giombelli.
- Department of Neurologic Surgery, Azienda Ospedaliero-Universitaria, Parma, Italy; Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy. Electronic address: giacomo.bertolini@studio.unibo.it.
- World Neurosurg. 2021 Oct 1; 154: 79.
AbstractArteriovenous malformations (AVMs) of the ambient cistern are an extremely rare and complex subgroup of vascular malformation, representing a clinical challenge due to the deep-seated, highly eloquent anatomic location and the debilitating, life-threatening consequences related to hemorrhagic presentation and surgical morbidity. Ultimately, a tailored treatment, based on the presenting symptoms, AVM angioarchitecture, and annual risk of hemorrhage should be discussed among a multidisciplinary team to find the best individualized strategy balancing between the pros and cons of each approach. In Video 1, we present the case of a 60-year-old man with a hemorrhaged AVM of the right ambient cistern, present the pros and cons of each possible treatment strategy, and illustrate the successful resection of this lesion through a subtemporal-transtentorial microsurgical approach.Copyright © 2021 Elsevier Inc. All rights reserved.
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