The surgical approach to arteriovenous malformations of the lateral and sigmoid dural sinuses.

Abstract:

:Arteriovenous malformations (AVM's) of lateral and sigmoid sinuses are acquired lesions evolving from a previously thrombosed dural sinus. Their natural history is usually that of gradual progression and hence surgery is frequently necessary. The preferred surgical treatment is complete excision coupled with packing of the sigmoid sinus. The operative approach is illustrated and discussed in detail. Results and complications are reviewed in 27 patients whose symptomatology had progressed under conservative management; 22 of these cases harbored primary lesions and five had recurrences. There were 22 excellent, one good, and two poor results (both of the latter from blindness that preceded surgery). There were two deaths, both in patients previously operated on with incomplete removal or obliteration of the AVM by attempted embolization.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Sundt TM Jr,Piepgras DG

doi

10.3171/jns.1983.59.1.0032

subject

Has Abstract

pub_date

1983-07-01 00:00:00

pages

32-9

issue

1

eissn

0022-3085

issn

1933-0693

journal_volume

59

pub_type

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