Related Experiment Video
Updated: Oct 7, 2025
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
How I do it? A multimodality-guided awake hybrid operation for a language-area brain arteriovenous malformation and
Zixiao Yang1,2,3,4,5,6, Meng Deng7, Yiheng Liu7
1Department of Neurosurgery, Huashan Hospital, Fudan University, No. 12 Wulumuqi Zhong Road, Shanghai, 200040, China.
Background:
The cure of an eloquent brain arteriovenous malformation (BAVM) and multiple intracranial aneurysms with preservation of neurological function and the minimal procedures is challenging.
Method:
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.
Conclusion:
The multimodality-guided awake hybrid operation may be a promising technique to treat complicated cerebrovascular disease.
