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Image guided excision of a ruptured feeding artery “pedicle aneurysm” associated with an arteriovenous malformation in a child: Case report

✍ Scribed by F.K. Albert; C.R. Wirtz; M. Forsting; O. Jansen; H. Polarz; G. Mittermaier; S. Kunze


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
296 KB
Volume
2
Category
Article
ISSN
1092-9088

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✦ Synopsis


Excision of a ruptured aneurysm located at a lenticulostriate feeding artery associated with an arteriovenous malformation was performed using image guided neuronavigation in an 8year-old child. The management of this lesion, which is rare in childhood, demonstrates the potential of combining frameless stereotaxy for precise target approach with conventional open microneurosurgery to minimize morbidity. Because of the unavoidable shifting of the brain that occurs during surgery, a catheter pointing towards the dome of the aneurysm was placed using image guidance prior to insertion of spatulae.