The case against staged operative resection of cerebral arteriovenous malformations

• Published in: Neurosurgery Vol. 25; no. 3; p. 429
• Main Authors: Morgan, M K, Sundt, Jr, T M
• Format: Journal Article
• Language: English
• Published: United States 01.09.1989
• Subjects: Adult; Brain Edema - surgery; Brain Ischemia - surgery; Cerebral Angiography; Cerebral Hemorrhage - surgery; Cerebrovascular Circulation; Child; Craniotomy; Female; Homeostasis; Humans; Hyperemia - surgery; Infant; Intracranial Arteriovenous Malformations - surgery; Intracranial Embolism and Thrombosis - surgery; Male; Postoperative Complications - surgery; Risk Factors

Three cases of large cerebral arteriovenous fistulae are presented in which surgical ablation was complicated by brain swelling from hyperperfusion breakthrough believed to be caused by acute intraoperative hypoperfusion superimposed on chronic preoperative hypoperfusion. On the basis of these cases...