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Pilipenko Yu.V.

Burdenko Neurosurgical Center

Gorozhanin V.A.

Burdenko Neurosurgical Center

Eliava Sh.Sh.

Burdenko Neurosurgical Center

Varyukhina M.D.

Burdenko Neurosurgical Center

Kaftanov A.N.

Burdenko Neurosurgical Center

Microsurgical resection of multiple unruptured cerebral AVMs. Case report and literature review

Authors:

Pilipenko Yu.V., Gorozhanin V.A., Eliava Sh.Sh., Varyukhina M.D., Kaftanov A.N.

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Journal: Burdenko's Journal of Neurosurgery. 2020;84(4): 69‑75

DOI: 10.17116/neiro20208404169

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To cite this article:

Pilipenko YuV, Gorozhanin VA, Eliava ShSh, Varyukhina MD, Kaftanov AN. Microsurgical resection of multiple unruptured cerebral AVMs. Case report and literature review. Burdenko's Journal of Neurosurgery. 2020;84(4):69‑75. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20208404169

 
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Multiple brain arteriovenous malformations (AVMs) are extremely rare. We report a 26-year-old patient with paroxysmal symptoms. This was the first case in our center over 10 years (0.15% of all patients with brain AVM in this period). Microsurgical resection of AVM of the left temporal lobe was carried out at the first stage (Spetzler—Martin grade I). A month later, resection of AVM of the left parietal lobe (Spetzler—Martin grade III) after preliminary endovascular embolization was carried out. Early postoperative visual and mental disorders occurred after the second surgery and completely regressed within 1 month. Control angiography after the second operation confirmed total resection of both AVMs. Thus, staged microsurgical resection of two cerebral AVMs combined with preliminary endovascular embolization of more complex AVM was effective and ensured favorable clinical result. We analyzed the features of our clinical case and compared our findings with literature data.

Keywords:

arteriovenous malformations
unruptured AVM
multiple AVMs
microsurgical treatment of AVM

Authors:

Pilipenko Yu.V.

Burdenko Neurosurgical Center

Gorozhanin V.A.

Burdenko Neurosurgical Center

Eliava Sh.Sh.

Burdenko Neurosurgical Center

Varyukhina M.D.

Burdenko Neurosurgical Center

Kaftanov A.N.

Burdenko Neurosurgical Center

Received:

30.12.2019

Accepted:

24.04.2020

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