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Fred C. Williams, Joseph M. Zabramski, Robert F. Spetzler and Harold L. Rekate

surface of the spinal cord remains problematic. Current treatment for these lesions has concentrated on transfemoral embolic therapy, but recent reports suggest that embolization may provide limited long-term benefits. This report details the use of an anterolateral transthoracic approach for the resection of a ventrally located Type II (glomus) spinal AVM and reviews the related literature. Case Report This 16-year-old Native American girl was transferred to our institution after the sudden onset of headache, back pain, nausea, and vomiting. Her medical history

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Robert F. Spetzler, Paul W. Detwiler, Howard A. Riina and Randall W. Porter

, Spetzler RF , et al : Excision of intramedullary arteriovenous malformation using intraoperative spinal cord monitoring. Surg Neurol 12 : 271 – 276 , 1979 Owen MP, Brown RH, Spetzler RF, et al: Excision of intramedullary arteriovenous malformation using intraoperative spinal cord monitoring. Surg Neurol 12: 271–276, 1979 65. Raynor RB , Weiner R : Transthoracic approach to an intramedullary vascular malformation of the thoracic spinal cord. Neurosurgery 10 : 631 – 634 , 1982 Raynor RB, Weiner R

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Gregory J. Velat, Steve W. Chang, Adib A. Abla, Felipe C. Albuquerque, Cameron G. McDougall and Robert F. Spetzler

–12 laminoplasties yes 18 51, F T-5 bilat lower-extremity paresthesias yes staged T3–7 laminoplasties & transthoracic approach no 19 7, M T-8 SAH; myelopathy w/ bilat lower-extremity paresis yes § T7–9 laminoplasties & lt T-8 costotransversectomy yes 20 52, F T4–5 myelopathy w/ bilat lower-extremity paresis no T3–6 laminoplasties yes * IPH = intraparenchymal hemorrhage; SAH = subarachnoid hemorrhage. † Indicates AVM obliteration after postoperative (< 24-hour) residual embolization. ‡ Indicates 2 operations