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Updated: Jul 15, 2025

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Giant Brain Arteriovenous Malformation Managed by Staged Embolizations and Surgical Resection with Satisfactory
Hong Sun1, Seidu A Richard2, Zhigang Lan1
1Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, P.R. China.
Abstract:
Spetzler-Martin grade V (>6 cm) arteriovenous malformations (AVMs) are traditionally considered inoperable. A 35-year-old man presented with repeated seizures for 7 years, and computed tomography arteriography and magnetic resonance imaging revealed left deep hemispheric AVM. A combination of embolization and surgical resection successfully achieved a cure of the patient. Well-equipped neurosurgery facilities can best manage selective Spetzler-Martin grade V AVMs with no neurologic deficits contrary to their traditionally inoperable concept. Successful surgery offers the patient a better quality of life.
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