Image guided excision of a ruptured feeding artery "pedicle aneurysm" associated with an arteriovenous malformation in a child: case report.
Excision of a ruptured aneurysm located at a lenticulostriate feeding artery associated with an arteriovenous malformation was performed using image guided neuronavigation in an 8-year-old child. The management of this lesion, which is rare in childhood, demonstrates the potential of combining frameless stereotaxy for precise target approach with conventional open microneurosurgery to minimize morbidity. Because of the unavoidable shifting of the brain that occurs during surgery, a catheter pointing towards the dome of the aneurysm was placed using image guidance prior to insertion of spatulae.
Albert
F K
FK
Department of Neurosurgery, University of Heidelberg, Germany.
Wirtz
C R
CR
Forsting
M
M
Jansen
O
O
Polarz
H
H
Mittermaier
G
G
Kunze
S
S
D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D002421:Caudate Nucleus / Q000098:blood supply*; D002533:Cerebral Angiography / Q000379:methods*; D002536:Cerebral Arteries / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D007432:Intraoperative Period; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed / Q000379:methods*