Stereotactic resection of pediatric vascular malformations.
The technique of computer-assisted stereotactic resection of intra-axial neoplasms can also be used in the treatment of vascular malformations. We report a series of 12 pediatric patients with supratentorial lesions who underwent stereotactic resections between 1985 and 1988. There were 5 boys and 7 girls, with mean age 8 years (range 3-16). Epilepsy was the presenting symptoms in 8 children, hemorrhage in 3, and in 1 the lesion was incidentally diagnosed. Seven lesions were angiographically occult. All lesions were resected without mortality or morbidity. Seizures resolved in 7 of 8 cases, with the remaining patient experiencing a reduction in seizure frequency. Illustrative cases are presented.
Partington
M D
MD
Department of Neurological Surgery, Mayo Clinic, Rochester, Minn.
Davis
D H
DH
Kelly
P J
PJ
D000293:Adolescent; D002533:Cerebral Angiography; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000295:instrumentation*; D008297:Male; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis*; D013238:Stereotaxic Techniques; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*