ISSN: 1300-0292 İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED CINAHL, Index Copernicus, Chemical Abstracts (CA), Excerpta Medica / EMBASE Dil: Türkçe, İngilizce İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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A Posterior Inter-hemispheric Transcingulate Approach To A Diencephalic Arteriovenous Malformation
Ramazan Alper KAYA, MD, a Türker DALKILIÇ, MD,a Yunus AYDIN, Mda
aDepartment of Neurosurgery, Şişli Etfal Hospital, İSTANBUL The main goal of arteriovenous malformation surgery is to implement the total excision of the lesion by using a suitable approach that provides adequate exposure with minimal brain damage. Establishment of such an approach for the posterior diencephalon, trigone and adjacent structures presents a great surgical challenge.
A posterior inter-hemispheric trans-cingulate approach was undertaken with a 28-year-old male patient with a left posterior thalamo-caudat junction arteriovenous malformation. The lesion was successfully removed. Aside from slight monoparesis in the contralateral upper extremity during the late postoperative period, no neurological deficit resulted as a consequence of this procedure. The detailed surgical technique and subsequent clinical process are presented.
Recent surgical experience with arteriovenous malformations of the posterior thalamo-caudat junction demonstrate the effectiveness of a posterior inter-hemispheric trans-cingulate approach to the trigone region.Keywords: Cingulate gyrus, diencephalon,
intracranial arteriovenous malformationTurkiye Klinikleri J Med Sci 2004, 24:551-556
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