Cerebral Arteriovenous Malformation Treatment by Full Transcranial Neuroendoscopic Approaches
Authors Cai Q, Ji B, Li Z, Wang W, Liu J, Chen Z
Received 24 April 2020
Accepted for publication 13 July 2020
Published 6 August 2020 Volume 2020:16 Pages 1899—1905
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Yuping Ning
Qiang Cai, Baowei Ji, Zhiyang Li, Wenju Wang, Junhui Liu, Zhibiao Chen
Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, People’s Republic of China
Correspondence: Qiang Cai; Baowei Ji Tel +86-15072358160
Email email@example.com; firstname.lastname@example.org
Background: Traditionally, cerebral arteriovenous malformations (cAVMs) are surgically treated with microscopy, and no cases receive full neuroendoscopy. We operated on two small cAVMs with hematoma under a neuroendoscope, and the two patients obtained excellent results.
Objective: To explore the feasibility of treating cAVMs with a full transcranial neuroendoscopic approach.
Methods: The clinical data and operative techniques were collected and described for two patients who were diagnosed with cAVMs with hematoma and treated via a full transcranial neuroendoscopic approach.
Results: In the two patients, the hematomas were successfully evacuated, and the AVMs were removed simultaneously; both patients had achieved excellent recoveries at discharge.
Conclusion: To our knowledge, this is the first report in the literature to successfully treat cAVMs with hematoma with a full transcranial neuroendoscopic approach, showing that this approach is feasible and may be an alternative for small ruptured cAVMs. However, while the feasibility of attempting this approach was demonstrated, it was difficult to certify its obvious advantage. Nevertheless, we believe that this approach might be difficult for middle and large AVMs due to the shortcomings of neuroendoscopy. More cases and practice are needed to confirm the merits and limitations of this new approach for AVMs.
Keywords: cerebral arteriovenous malformations, transcranial neuroendoscopic approach, hematoma
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]