Removal of superior vermian arteriovenous malformation through the occipital transtentorial approach
Background: Arteriovenous malformations (AVMs) of the superior vermis are extremely rare. Although they have a higher rate of hemorrhagic presentations than supratentorial AVMs, the surgical approaches for AVMs at this location remain controversial. Case description: We report the case of a 73-year-...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-09-01
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| Series: | Interdisciplinary Neurosurgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751919300209 |
| _version_ | 1819052295773487104 |
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| author | Haruto Uchino Naoki Akioka Takahiro Tomita Daina Kashiwazaki Naoya Kuwayama Satoshi Kuroda |
| author_facet | Haruto Uchino Naoki Akioka Takahiro Tomita Daina Kashiwazaki Naoya Kuwayama Satoshi Kuroda |
| author_sort | Haruto Uchino |
| collection | DOAJ |
| description | Background: Arteriovenous malformations (AVMs) of the superior vermis are extremely rare. Although they have a higher rate of hemorrhagic presentations than supratentorial AVMs, the surgical approaches for AVMs at this location remain controversial. Case description: We report the case of a 73-year-old man with a hemorrhagic superior vermian AVM that was treated with surgical resection through the occipital transtentorial approach (OTA). This approach, with a direct perpendicular view of the whole lesion, enabled us to control the feeding arteries safely and to finally accomplish a total resection. Conclusions: The OTA is an elegant approach for the resection of superior vermian AVMs. Detailed assessment of angiographic features is mandatory in selecting an effective and safe surgical approach for posterior fossa AVMs depending on their location. Keywords: Arteriovenous malformation, Occipital transtentorial, Posterior fossa, Superior vermian, Surgical approach |
| first_indexed | 2024-12-21T12:17:34Z |
| format | Article |
| id | doaj.art-cb47aa8e27b149a885fd058cc7d05f44 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-21T12:17:34Z |
| publishDate | 2019-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-cb47aa8e27b149a885fd058cc7d05f442022-12-21T19:04:23ZengElsevierInterdisciplinary Neurosurgery2214-75192019-09-01178486Removal of superior vermian arteriovenous malformation through the occipital transtentorial approachHaruto Uchino0Naoki Akioka1Takahiro Tomita2Daina Kashiwazaki3Naoya Kuwayama4Satoshi Kuroda5Department of Neurosurgery, Graduate School of Medicine and Pharmaceutical Science, University of Toyama, Toyama, Japan; Department of Neurosurgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan; Corresponding author at: Department of Neurosurgery, Hokkaido University Graduate School of Medicine, North 15 West 7, Kita-ku, Sapporo 060-8638, Japan.Department of Neurosurgery, Graduate School of Medicine and Pharmaceutical Science, University of Toyama, Toyama, JapanDepartment of Neurosurgery, Graduate School of Medicine and Pharmaceutical Science, University of Toyama, Toyama, JapanDepartment of Neurosurgery, Graduate School of Medicine and Pharmaceutical Science, University of Toyama, Toyama, JapanDepartment of Neurosurgery, Graduate School of Medicine and Pharmaceutical Science, University of Toyama, Toyama, JapanDepartment of Neurosurgery, Graduate School of Medicine and Pharmaceutical Science, University of Toyama, Toyama, JapanBackground: Arteriovenous malformations (AVMs) of the superior vermis are extremely rare. Although they have a higher rate of hemorrhagic presentations than supratentorial AVMs, the surgical approaches for AVMs at this location remain controversial. Case description: We report the case of a 73-year-old man with a hemorrhagic superior vermian AVM that was treated with surgical resection through the occipital transtentorial approach (OTA). This approach, with a direct perpendicular view of the whole lesion, enabled us to control the feeding arteries safely and to finally accomplish a total resection. Conclusions: The OTA is an elegant approach for the resection of superior vermian AVMs. Detailed assessment of angiographic features is mandatory in selecting an effective and safe surgical approach for posterior fossa AVMs depending on their location. Keywords: Arteriovenous malformation, Occipital transtentorial, Posterior fossa, Superior vermian, Surgical approachhttp://www.sciencedirect.com/science/article/pii/S2214751919300209 |
| spellingShingle | Haruto Uchino Naoki Akioka Takahiro Tomita Daina Kashiwazaki Naoya Kuwayama Satoshi Kuroda Removal of superior vermian arteriovenous malformation through the occipital transtentorial approach Interdisciplinary Neurosurgery |
| title | Removal of superior vermian arteriovenous malformation through the occipital transtentorial approach |
| title_full | Removal of superior vermian arteriovenous malformation through the occipital transtentorial approach |
| title_fullStr | Removal of superior vermian arteriovenous malformation through the occipital transtentorial approach |
| title_full_unstemmed | Removal of superior vermian arteriovenous malformation through the occipital transtentorial approach |
| title_short | Removal of superior vermian arteriovenous malformation through the occipital transtentorial approach |
| title_sort | removal of superior vermian arteriovenous malformation through the occipital transtentorial approach |
| url | http://www.sciencedirect.com/science/article/pii/S2214751919300209 |
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