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首页> 外文期刊>Neurosurgical focus >Microsurgical resection of cervical spinal arteriovenous malformation: the pial resection technique
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Microsurgical resection of cervical spinal arteriovenous malformation: the pial resection technique

机译：颈椎动静脉畸形的显微外科手术切除：颈椎切除术

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摘要

We present the case of a 26-year-old female patient who had two episodes of sudden, left, upper and lower extremity paresthesias and weakness, which resolved completely after 5 months. After recovery, she presented for evaluation. Imaging demonstrated a C3-C6 intra- and extra-axial arteriovenous malformation (AVM) with spinal cord compression and edema. A spinal angiogram showed arterial feeders arising from both vertebral arteries and from the right ascending pharyngeal artery. The AVM had been partially embolized after her first bleeding episode. She underwent C3-C6 laminoplasty and microsurgical resection of the AVM. After locating the main arterial feeders and draining veins, the malformation was resected using the pial resection technique. A postoperative spinal angiogram demonstrated gross total resection.Video used with permission from Barrow Neurological Institute.
机译：我们提供了一个26岁的女性患者的案例，该患者有两次发作的突然，左，上，下肢感觉异常和无力，在5个月后完全消失。康复后，她提出进行评估。成像显示C3-C6轴内和轴外动静脉畸形（AVM）伴有脊髓压迫和水肿。脊柱血管造影显示了来自椎动脉和右咽咽动脉的动脉支。在她的第一次出血发作后，AVM被部分栓塞。她接受了C3-C6椎体成形术和AVM的显微外科切除术。在找到主要的动脉支线和引流静脉后，使用部分切除术切除畸形。术后脊髓血管造影显示完全切除。视频经Barrow Neuroologic Institute许可使用。

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