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Microsurgical resection of an intramedullary glomus arteriovenous malformation in the high cervical spinal cord: retrograde dissection techniques of the nidus located between spinal tracts

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Abstract

Background

Spinal intramedullary arteriovenous malformations (AVMs) fed by an anterior spinal artery are surgically challenging vascular lesions.

Method

We herein presented microsurgical resection techniques for an intramedullary glomus AVM located in the lateral part of the high cervical spinal cord with an operative video. These techniques included (1) a lateral suboccipital approach via cervical hemilaminectomy in the lateral position; (2) retrograde dissection of the AVM located between the spinal tracts; (3) coagulation and division of multiple narrow sulcal branches of the anterior spinal artery.

Conclusion

Patients who underwent these techniques achieved good outcomes with minimal bleeding and morbidity.

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Conflicts of interest

All authors certify that there is no conflict of interest (any financial or non-financial interest) in the subject matter or materials discussed in this manuscript.

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Authors and Affiliations

  1. Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, 2-6-1, Musashidai, Fuchu, Tokyo, 183-0042, Japan

    Keisuke Takai & Makoto Taniguchi

Authors
  1. Keisuke Takai
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  2. Makoto Taniguchi
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Corresponding author

Correspondence to Keisuke Takai.

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A movie showing retrograde dissection techniques of the nidus located between spinal tracts. (MPG 91294 kb)

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Takai, K., Taniguchi, M. Microsurgical resection of an intramedullary glomus arteriovenous malformation in the high cervical spinal cord: retrograde dissection techniques of the nidus located between spinal tracts. Acta Neurochir 157, 1659–1664 (2015). https://doi.org/10.1007/s00701-015-2531-4

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  • DOI: https://doi.org/10.1007/s00701-015-2531-4

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