Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Pure Sylvian Fissure Arteriovenous Malformation

  • Kim, Sung-Joon (Department of Neurosurgery, Our Lady of Mercy Hospital College of Medicine, The Catholic University of Korea) ;
  • Han, Young-Min (Department of Neurosurgery, Our Lady of Mercy Hospital College of Medicine, The Catholic University of Korea) ;
  • Chung, Dong-Sup (Department of Neurosurgery, Our Lady of Mercy Hospital College of Medicine, The Catholic University of Korea)
  • Published : 2005.12.28
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Abstract

Pure sylvian fissure arteriovenous malformations[AVMs] are vascular malformations confined to the sylvian fissure without parenchymal involvement. Surgical removal is regarded as difficult because the nidus is located just lateral to important structures such as the basal ganglia and the internal capsule. Because most feeding arteries to the nidus are branches of the middle cerebral artery[MCA], differentiation between these feeders from en passant and normal vessels is of great importance in order to reduce morbidity and mortality from surgical intervention. We report a case of pure sylvian fissure AVM who presented with an intra-temporal lobe hematoma that was located around venous aneurysms distant from the nidus. The clinical characteristics of this AVM and the surgical methods employed to avoid complications are discussed.

Keywords

References

  1. Cho MK, Cho SC, Cho KT, Park BJ, Kim YJ : LINAC radiosurgery for cerebral arteriovenous malformation. J Korean Neurosurg Soc 36 : 470-474, 2004
  2. Dempsey RJ, Moftakhar R, Pozniak M : Intraoperative Doppler to measure cerebrovascular resistance as a guide to complete resection of arteriovenous malformations. Neurosurgery 55 : 155-161, 2004 https://doi.org/10.1227/01.NEU.0000126879.95006.46
  3. Eom KS, Kang SD, Kim JM : Ruptured cerebral arteriovenous malformation with giant venous aneurysm. J Korean Neurosurg Soc 32 : 73-76, 2002
  4. Hamada JI, YanoS, Kai Y, Koga K, Morioka M, Ishimaru Y, et al : Histopathological study of venous aneurysms in patients with dural arteriovenous fistulas. J Neurosurg 92 : 1023-1027, 2000 https://doi.org/10.3171/jns.2000.92.6.1023
  5. Hashimoto N : Microsurgery for Cerebral Arteriovenous Malformations : a dissection technique and its theoretical implications. Neurosurgery 48 : 1278-1281, 2001 https://doi.org/10.1097/00006123-200106000-00018
  6. Kwon OK, Han DH, Chung YS, Oh CW, Han MH : Angiographic hemorrhagic risk factors of cerebral arteriovenous malformation. J Korean Neurosurg Soc 29 : 995-1000, 2000
  7. Mansmann U, Meisel J, Brock M, Rodesch G, Alvarez H, Lasjaunias P : Factors associated with intracranial hemorrhage in cases of cerebral arteriovenous malformation. Neurosurgery 46 : 272-281, 2000 https://doi.org/10.1097/00006123-200002000-00004
  8. Pollock BE, Flickinger JC, Lunsford LD, Bissonette DJ, Kondziolka D : Hemorrhage risk after stereotactic radiosurgery of cerebral arteriovenous malformations. Neurosurgery 38 : 652-661, 1996 https://doi.org/10.1227/00006123-199604000-00004
  9. Pritz MB : Ruptured supratentorial arteriovenous malformations associated with venous aneurysms. Acta Neurochir (Wien) 128 : 150-162, 1994 https://doi.org/10.1007/BF01400666
  10. Sugita K, Takemae T, Kobayashi S : Sylvian fissure arteriovenous malformations. Neurosurgery 21 : 7-14, 1987 https://doi.org/10.1227/00006123-198707000-00003
  11. Tew JM Jr, Lewis AI, Reichert KW : Management strategies and surgical techniques for deep-seated supratentorial arteriovenous malformations. Neurosurgery 36 : 1065-1072, 1995 https://doi.org/10.1227/00006123-199506000-00001
  12. Wilkholm G, Lundqvist C, Svendsen P : Embolization of cerebral arteriovenous malformations : Part I-Technique, morphology, and complications. Neurosurgery 39 : 448-459, 1996 https://doi.org/10.1097/00006123-199609000-00004
  13. Zimmerman G, Lewis AI, Tew JM Jr : Pure sylvian fissure arteriovenous malformations. J Neurosurg 92 : 39-44, 2000 https://doi.org/10.3171/jns.2000.92.1.0039