Neurologia medico-chirurgica
Online ISSN : 1349-8029
Print ISSN : 0470-8105
ISSN-L : 0470-8105
Brainstem Arteriovenous Malformation with a Pedicle Aneurysm Treated by Endovascular Surgery and Proton-beam Radiosurgery —Case Report—
Yuji MATSUMARUAkio HYODOKoji TSUBOIYoshihiko YOSHIITadao NOSEIzumi ANNOToshiyuki OKUMURAHirohiko TSUJII
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ジャーナル フリー

1996 年 36 巻 10 号 p. 716-720

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A 39-year-old male presented with a small pontine hemorrhage and subarachnoid hemorrhage. Angiography showed a small left pontine arteriovenous malformation (AVM) associated with a small aneurysm on the pedicle feeding the AVM. The pedicle aneurysm was occluded by microcoils. The AVM was then treated by proton-beam radiosurgery. Follow-up angiography 2 years later revealed that the AVM had disappeared completely without neurological deficit. The combination of embolization and proton-beam radiosurgery was curative in this patient with a pontine AVM associated with an aneurysm on the feeding artery, showing that these techniques can be used to treat inoperable vascular lesions safely.
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© The Japan Neurosurgical Society
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