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© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

This study conducts an in-depth analysis of the management of a complex arteriovenous malformation (AVM) in a 44-year-old individual, who initially manifested with acute left hemiparesis and progressively declined into a comatose state. Diagnostic neuroimaging identified a substantial right fronto-temporal intraparenchymal hematoma via a CT scan. Cerebral angiography further elucidated a choroidal AVM originating from the anterior choroidal artery, accompanied by intranidal aneurysms. The elected treatment strategy was the surgical excision of the AVM. The procedure achieved complete removal of the intracranial AVM, situated in a neurologically sensitive region, leading to notable neurological recovery. This study thoroughly explores and critically evaluates a wide spectrum of treatment approaches for intracranial arteriovenous malformations, including novel endovascular therapies. Despite extensive discourse on AVM in contemporary literature, this report is among the few documenting the treatment of a choroidal AVM via a microsurgical technique, and highlights various therapeutic options.

Details

Title
Case Study of a Complex Neurovascular Disorder: Choroidal Arteriovenous Malformation
Author
Toader, Corneliu 1 ; Razvan-Adrian Covache-Busuioc 2 ; Bogdan-Gabriel Bratu 2 ; Glavan, Luca Andrei 2 ; Corlatescu, Antonio Daniel 2   VIAFID ORCID Logo  ; Alexandru Vlad Ciurea 3 

 Department of Neurosurgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; [email protected] (C.T.); [email protected] (B.-G.B.); [email protected] (L.A.G.); [email protected] (A.V.C.); Department of Vascular Neurosurgery, National Institute of Neurology and Neurovascular Diseases, 077160 Bucharest, Romania 
 Department of Neurosurgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; [email protected] (C.T.); [email protected] (B.-G.B.); [email protected] (L.A.G.); [email protected] (A.V.C.) 
 Department of Neurosurgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; [email protected] (C.T.); [email protected] (B.-G.B.); [email protected] (L.A.G.); [email protected] (A.V.C.); Neurosurgery Department, Sanador Clinical Hospital, 010991 Bucharest, Romania 
First page
302
Publication year
2024
Publication date
2024
Publisher
MDPI AG
ISSN
1010660X
e-ISSN
16489144
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2930980940
Copyright
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.