Combined treatment for a hemispheric cerebellar AVM

Abstract

Posterior fossa arteriovenous malformations (AVMs) can be a challenging disease, especially those large in size. AVMs can be treated with a combination of endovascular treatment and microsurgery. Here, the authors present the case of a 16-year-old female patient with progressive dizziness and episodic syncope. The workup of the patient showed a hemispheric cerebellar AVM, Spetzler-Martin grade IV. She underwent combined treatment (endovascular and microsurgery) with no complications and cure of the malformation.The video can be found here: https://youtu.be/rNw_Kyd76Mg

The Microsurgical Management of a Cerebellar Vermian Arteriovenous Malformations Associated With High-Flow Fistulae: 2-Dimensional Operative Video

“…Sinus skeletonization in complex dural arteriovenous fistula is a reported technique. 12 We adapt this technique to delineate and disconnect a subpial posterior fossa AVM with high-flow fistula.…”

“…Sinus skeletonization in complex dural arteriovenous fistula is a reported technique. 12 We adapt this technique to delineate and disconnect a subpial posterior fossa AVM with high-flow fistula. We present a video case of an obese male in his 50s with hypertension and end-stage renal disease who presented with a 9-month history of progressive spastic quadriparesis.…”