JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (4): 80-82.doi: 10.6040/j.issn.1671-7554.0.2014.308

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Microsurgical treatment of brain arteriovenous malformation in cerebral functional areas assisted with electro-magnetic navigation and ultrasound

LI Bing, FEI Chang, GUO Feng, SUN Aigang, HUAN Linchun, GUO Shouzhong, LIU Yuhai   

  1. Department of Neurosurgery, Linyi People's Hospital, Linyi 276003, Shandong, China
  • Received:2014-05-12 Revised:2014-12-31 Online:2015-04-10 Published:2015-04-10

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Abstract: Objective To explore the efficacy of electro-magnetic navigation and ultrasound in microsurgical treatment of brain arteriovenous malformation (AVM) in cerebral functional areas. Methods Clinical data of 41 cases of AVM treated in our hospital during May 2005 to May 2013 were retrospectively reviewed. The cases could be divided into 2 groups: the assisted group which received operation assisted with electro-magnetic navigation and ultrasound (n=23), and the non-assisted group which were treated solely with microsurgery (n=18). In the assisted group, after AVM and functional areas were located by electro-magnetic navigation and ultrasound, AVM was removed with reference to the relationship between AVM and functional areas. Results In non-assisted group, AVM was totally removed in 11 cases and subtotally removed in 7 cases. After operation, 10 cases recovered, 2 cases had no change, and 6 cases were impaired. In the assisted group, all intracranial lesions were accurately located. The matching error was 0.86-3.10 mm, mean 1.52 mm. The AVM was totally removed in 21 cases and subtotally removed in 2 cases. After operation, 18 cases recovered, 3 cases had no change, and 2 cases were impaired. The ratio of AVM resection in the assisted group was much higher than that in the non-assisted group. The ratio of dysfunction in the assisted group was much lower than that in the non-assisted group (P <0.05). Conclusion Assisted with electro-magnetic navigation and ultrasound, the AVM and functional area can be accurately located and complications can be substantially reduced.

Key words: Arteriovenous malformations, Ultrasound, Neuronavigation, Microsurgery

CLC Number: 

  • R651
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