How I do it? A multimodality-guided awake hybrid operation for a language-area brain arteriovenous malformation and multiple intracranial aneurysms.

Yang, Zixiao; Deng, Meng; Liu, Yiheng; Song, Jianping · Acta Neurochir (Wien) · 2022

case_report · Level V

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Abstract

The cure of an eloquent brain arteriovenous malformation (BAVM) and multiple intracranial aneurysms with preservation of neurological function and the minimal procedures is challenging. A 53-year-old male was admitted to treat a left frontal language-area BAVM and concomitant five bilateral intracranial aneurysms. After repairing the ruptured right middle cerebral artery (MCA) bifurcation aneurysms and the other two unruptured ones, at the second-stage multimodality-guided awake hybrid operation, we successfully obliterated the left frontal BAVM and two other left MCA aneurysms. The multimodality-guided awake hybrid operation may be a promising technique to treat complicated cerebrovascular disease.

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