Image Guided Excision of a Ruptured Feeding Artery “Pedicle Aneurysm” Associated with an Arteriovenous Malformation in a Child: Case Report

F. K. Albert Departments of Neurosurgery, University of Heidelberg, Heidelberg, Germany

C. R. Wirtz Departments of Neurosurgery, University of Heidelberg, Heidelberg, Germany

M. Forsting Departments of Neuroradiology, University of Heidelberg, Heidelberg, Germany

O. Jansen Departments of Neuroradiology, University of Heidelberg, Heidelberg, Germany

H. Polarz Departments of Anesthesiology, University of Heidelberg, Heidelberg, Germany

G. Mittermaier Departments of Pediatric Neurology, University of Heidelberg, Heidelberg, Germany

S. Kunze Departments of Neurosurgery, University of Heidelberg, Heidelberg, Germany

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Abstract

Excision of a ruptured aneurysm located at a lenticulostriate feeding artery associated with an arteriovenous malformation was performed using image guided neuronavigation in an 8-year-old child. The management of this lesion, which is rare in childhood, demonstrates the potential of combining frameless stereotaxy for precise target approach with conventional open microneuro-surgery to minimize morbidity-Because of the unavoidable shifting of the brain that occurs during surgery, a catheter pointing towards the dome of the aneurysm was placed using image guidance prior to insertion of spatulae.

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Image Guided Excision of a Ruptured Feeding Artery “Pedicle Aneurysm” Associated with an Arteriovenous Malformation in a Child: Case Report

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Image Guided Excision of a Ruptured Feeding Artery “Pedicle Aneurysm” Associated with an Arteriovenous Malformation in a Child: Case Report

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