Cerebral Arteriovenous Malformation Treatment by Full Transcranial Neuroendoscopic Approaches

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 ChinaCorrespondence: Qiang Cai; Baowei Ji Tel +86-15072358160; +86-18062565552Email cqno@sina.com; jbw2002@whu...

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Autores principales:	Cai Q, Ji B, Li Z, Wang W, Liu J, Chen Z
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	cerebral arteriovenous malformations transcranial neuroendoscopic approach hematoma Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/b7d1a3062a78496f87ec8614747986a6
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spelling	oai:doaj.org-article:b7d1a3062a78496f87ec8614747986a62021-12-02T09:48:04ZCerebral Arteriovenous Malformation Treatment by Full Transcranial Neuroendoscopic Approaches1178-2021https://doaj.org/article/b7d1a3062a78496f87ec8614747986a62020-08-01T00:00:00Zhttps://www.dovepress.com/cerebral-arteriovenous-malformation-treatment-by-full-transcranial-neu-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Qiang 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 ChinaCorrespondence: Qiang Cai; Baowei Ji Tel +86-15072358160; +86-18062565552Email cqno@sina.com; jbw2002@whu.edu.cnBackground: 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, hematomaCai QJi BLi ZWang WLiu JChen ZDove Medical Pressarticlecerebral arteriovenous malformationstranscranial neuroendoscopic approachhematomaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 1899-1905 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	cerebral arteriovenous malformations transcranial neuroendoscopic approach hematoma Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	cerebral arteriovenous malformations transcranial neuroendoscopic approach hematoma Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Cai Q Ji B Li Z Wang W Liu J Chen Z Cerebral Arteriovenous Malformation Treatment by Full Transcranial Neuroendoscopic Approaches
description	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 ChinaCorrespondence: Qiang Cai; Baowei Ji Tel +86-15072358160; +86-18062565552Email cqno@sina.com; jbw2002@whu.edu.cnBackground: 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
format	article
author	Cai Q Ji B Li Z Wang W Liu J Chen Z
author_facet	Cai Q Ji B Li Z Wang W Liu J Chen Z
author_sort	Cai Q
title	Cerebral Arteriovenous Malformation Treatment by Full Transcranial Neuroendoscopic Approaches
title_short	Cerebral Arteriovenous Malformation Treatment by Full Transcranial Neuroendoscopic Approaches
title_full	Cerebral Arteriovenous Malformation Treatment by Full Transcranial Neuroendoscopic Approaches
title_fullStr	Cerebral Arteriovenous Malformation Treatment by Full Transcranial Neuroendoscopic Approaches
title_full_unstemmed	Cerebral Arteriovenous Malformation Treatment by Full Transcranial Neuroendoscopic Approaches
title_sort	cerebral arteriovenous malformation treatment by full transcranial neuroendoscopic approaches
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/b7d1a3062a78496f87ec8614747986a6
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Cerebral Arteriovenous Malformation Treatment by Full Transcranial Neuroendoscopic Approaches

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