[Emergency surgery of a large ruptured arteriovenous malformation previously treated by several embolization procedures].
A 56-year-old patient with a giant parieto-occipital left-sided arteriovenous malformation (AVM) revealed by seizure was treated by four embolization procedures. Stereotactic radiosurgery was scheduled for the residual nidus but significant intracranial hemorrhage occurred and surgical excision had to be performed. The immediate post-operative status was precarious, but the final outcome was successful. Therapeutic indications are discussed. A multidisciplinary approach for judicious patient selection is surely the key to safe overall management of AVMs.
Doe
K K
KK
Service de Neurochirurgie, CHU La Milétrie, 86021 Poitiers. doekarl@yahoo.fr
Drouineau
J
J
Bataille
B
B
Lapierre
F
F
D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D005500:Follow-Up Studies; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000601:surgery* / Q000628:therapy; D020300:Intracranial Hemorrhages / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009778:Occipital Lobe / Q000098:blood supply; D010296:Parietal Lobe / Q000098:blood supply; D016634:Radiosurgery; D012008:Recurrence; D012422:Rupture, Spontaneous; D016896:Treatment Outcome