Hemodynamic associated aneurysms in patients with cerebral AVMs: two clinical cases and literature review
Abstract
Objective: to present the current strategies for treatment of cerebral arteriovenous malformations (AVMs) with associated aneurysms (AA). Materials and methods: this article describes two patients with AVM and AA. These patients underwent successful treatment of AVM (microsurgical excision) as a primary source of intracranial hemorrhage but suffered from aneurysm rupture in postoperative period. Results: This article presents the detailed review of clinical cases and treatment strategy in both patients as well as the literature review dedicated to this problem. Despite the conventional thinking about primary surgery of the intracranial hemorrhage source, authors’ experience indicates that this strategy is not always justified. Conclusion: The accurate diagnostics as well as careful preparation for surgery is obligatory for patients suffered from AVM with hemodynamic AA require careful diagnostics and operation prepare. Hemodynamic AA should be treated simultaneously with AVM resection or as the first stage of surgical treatment regardless of source of primary hemorrhage.
About the Authors
Sh. Sh. Eliava
ФГБУ НИИ нейрохирургии им. акад. Н.Н. Бурденко
Russian Federation
Russian Federation
A. V. Dmitriev
ФГБУ НИИ нейрохирургии им. акад. Н.Н. Бурденко
Russian Federation
Russian Federation
O. D. Shekhtman
ФГБУ НИИ нейрохирургии им. акад. Н.Н. Бурденко
Russian Federation
Russian Federation
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Review
For citations:
Eliava Sh.Sh., Dmitriev A.V., Shekhtman O.D. Hemodynamic associated aneurysms in patients with cerebral AVMs: two clinical cases and literature review. Russian journal of neurosurgery. 2017;(1):66-71. (In Russ.)
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