Intracranial AVM surgery

Laura B Hemmer*, Carine Zeeni, Dhanesh K. Gupta

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Arteriovenous malformations (AVMs) are tangled anastomoses of blood vessels in which arteriovenous shunting occurs in a central nidus (the area where feeding arteries converge and from which enlarged veins drain) [1, 2]. AVMs are the most common type of vascular malformation, with autopsy data suggesting an overall frequency of about 1-4% [3]. However, only about 12% of AVMs become symptomatic [1]. The mean age at presentation is 35 years old, and the majority present with intracranial hemorrhage (usually intracerebral hemorrhage) [1, 4]. There is an overall risk of initial hemorrhage of about 2-4% per year. The next most common presentation is seizure, followed by headache and focal neurological deficit [1]. In young children, presentation can also include congestive heart failure and hydrocephalus [3].

Original languageEnglish (US)
Title of host publicationMonitoring the Nervous System for Anesthesiologists and Other Health Care Professionals
PublisherSpringer US
Pages393-406
Number of pages14
Volume9781461403081
ISBN (Electronic)9781461403081
ISBN (Print)1461403073, 9781461403074
DOIs
StatePublished - Nov 1 2012

Keywords

  • Intracranial arteriovenous malformation surgery
  • Intraoperative neurophysiological monitoring
  • Normal perfusion pressure breakthrough

ASJC Scopus subject areas

  • General Medicine

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