Monoterapia con resección microquirúrgica de laruptura de la malformación arteriovenosa gradoIII+ de Spetzler-Martin: reporte de un caso
Year: 2024
Type: article
Study design: Case Report
Abstract: Introduction: Spetzler-Martin grade III+ lesions have shown high surgical risk; therefore, conservative management can be considered. However, ruptured presentation in pediatric patients warrants intervention. A case of successful treatment with surgical resection is reported. Case description: A 4-year-old male patient presented to the emergency room with comatose state due to intracranial bleeding with ventricular extension. After emergency management with ventricular drainage, angiographic study revealed a ruptured precentral grade III+ arteriovenous malformation with intranidal aneurysms. Microsurgical resection withintraoperative digital subtraction angiography was successfully performed without change in neurological status. Conclusion: Individualized management of grade III arteriovenous malformations is warranted. When several clinical and angiographic features are analyzed,better treatment approaches can be proposed. Some grade III+ lesions are suitable for monotherapy management with surgical resection.
Source: Revista medica Rebagliati.
DOI: 10.70106/rmr.v4i2.29
Institutions: Ministry of Health, National University of San Marcos
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4403313280