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Awake craniotomy for eloquent pial arteriovenous fistula: anesthetic and surgical consideration of a rare case.

Brazilian journal of anesthesiology (Elsevier) 2024 Vol.74(1) p. 744115

Krambek MRC, Vitorino-Araujo JOL, Lovato RM, Veiga JCE

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Abstract

Intracranial pial Arteriovenous Fistulas (AVFs) are rare cerebral vascular lesions composed of one or more arterial connections to a single venous channel. We report a 50-year-old patient with a ruptured pial AVF located in an eloquent area. Microsurgery for pial AVF occlusion was proposed with awake craniotomy for motor function and neurological evaluation. Awake craniotomy is a technique that is especially useful for cerebral vascular lesions in eloquent areas, where an occlusion often compromises or suppresses the blood supply, culminating in ischemia with consequent transient or definitive deficits in neurological function.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 microsurgery 미세수술 dict 1
해부 Intracranial pial Arteriovenous Fistulas scispacy 1
해부 blood scispacy 1
합병증 AVFs → Arteriovenous Fistulas scispacy 1
질환 pial arteriovenous fistula C0003855
Arteriovenous fistula
scispacy 1
질환 AVFs → Arteriovenous Fistulas C0003855
Arteriovenous fistula
scispacy 1
질환 cerebral vascular lesions C0007820
Cerebrovascular Disorders
scispacy 1
질환 pial AVF occlusion scispacy 1
질환 ischemia C0022116
Ischemia
scispacy 1
기타 pial arteriovenous scispacy 1
기타 cerebral vascular scispacy 1
기타 arterial scispacy 1
기타 venous scispacy 1
기타 pial AVF scispacy 1

MeSH Terms

Humans; Middle Aged; Intracranial Arteriovenous Malformations; Wakefulness; Craniotomy; Arteriovenous Fistula; Anesthetics

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