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Microsurgical resection of an intramedullary glomus arteriovenous malformation in the high cervical spinal cord: retrograde dissection techniques of the nidus located between spinal tracts.
Acta Neurochir (Wien). 2015 Oct; 157(10):1659-64.AN

Abstract

BACKGROUND

Spinal intramedullary arteriovenous malformations (AVMs) fed by an anterior spinal artery are surgically challenging vascular lesions.

METHOD

We herein presented microsurgical resection techniques for an intramedullary glomus AVM located in the lateral part of the high cervical spinal cord with an operative video. These techniques included (1) a lateral suboccipital approach via cervical hemilaminectomy in the lateral position; (2) retrograde dissection of the AVM located between the spinal tracts; (3) coagulation and division of multiple narrow sulcal branches of the anterior spinal artery.

CONCLUSION

Patients who underwent these techniques achieved good outcomes with minimal bleeding and morbidity.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Takai K
Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, 2-6-1, Musashidai, Fuchu, Tokyo, 183-0042, Japan. takai-nsu@umin.ac.jp.
Taniguchi M
Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, 2-6-1, Musashidai, Fuchu, Tokyo, 183-0042, Japan.

MeSH

Arteriovenous MalformationsCervical CordHumansLaminectomyMicrosurgerySpinal Cord Vascular Diseases

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26276470

Citation

Takai, Keisuke, and Makoto Taniguchi. "Microsurgical Resection of an Intramedullary Glomus Arteriovenous Malformation in the High Cervical Spinal Cord: Retrograde Dissection Techniques of the Nidus Located Between Spinal Tracts." Acta Neurochirurgica, vol. 157, no. 10, 2015, pp. 1659-64.
Takai K, Taniguchi M. Microsurgical resection of an intramedullary glomus arteriovenous malformation in the high cervical spinal cord: retrograde dissection techniques of the nidus located between spinal tracts. Acta Neurochir (Wien). 2015;157(10):1659-64.
Takai, K., & Taniguchi, M. (2015). Microsurgical resection of an intramedullary glomus arteriovenous malformation in the high cervical spinal cord: retrograde dissection techniques of the nidus located between spinal tracts. Acta Neurochirurgica, 157(10), 1659-64. https://doi.org/10.1007/s00701-015-2531-4
Takai K, Taniguchi M. Microsurgical Resection of an Intramedullary Glomus Arteriovenous Malformation in the High Cervical Spinal Cord: Retrograde Dissection Techniques of the Nidus Located Between Spinal Tracts. Acta Neurochir (Wien). 2015;157(10):1659-64. PubMed PMID: 26276470.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Microsurgical resection of an intramedullary glomus arteriovenous malformation in the high cervical spinal cord: retrograde dissection techniques of the nidus located between spinal tracts. AU - Takai,Keisuke, AU - Taniguchi,Makoto, Y1 - 2015/08/16/ PY - 2015/05/01/received PY - 2015/07/30/accepted PY - 2015/8/16/entrez PY - 2015/8/16/pubmed PY - 2016/6/16/medline KW - Arteriovenous fistula KW - Arteriovenous malformation KW - Arteriovenous shunt KW - Classification KW - Surgical treatment KW - Vascular anatomy SP - 1659 EP - 64 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 157 IS - 10 N2 - BACKGROUND: Spinal intramedullary arteriovenous malformations (AVMs) fed by an anterior spinal artery are surgically challenging vascular lesions. METHOD: We herein presented microsurgical resection techniques for an intramedullary glomus AVM located in the lateral part of the high cervical spinal cord with an operative video. These techniques included (1) a lateral suboccipital approach via cervical hemilaminectomy in the lateral position; (2) retrograde dissection of the AVM located between the spinal tracts; (3) coagulation and division of multiple narrow sulcal branches of the anterior spinal artery. CONCLUSION: Patients who underwent these techniques achieved good outcomes with minimal bleeding and morbidity. SN - 0942-0940 UR - https://www.unboundmedicine.com/medline/citation/26276470/Microsurgical_resection_of_an_intramedullary_glomus_arteriovenous_malformation_in_the_high_cervical_spinal_cord:_retrograde_dissection_techniques_of_the_nidus_located_between_spinal_tracts_ DB - PRIME DP - Unbound Medicine ER -