Interhemispheric approach for the surgical removal of thalamocaudate arteriovenous malformations

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  • 1 Department of Neurological Surgery, The Neurological Institute, Columbia-Presbyterian Medical Center, New York, New York
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✓ A series of 250 surgically treated cerebral arteriovenous malformations (AVM's) is presented, in which 22 lesions were located primarily in the thalamus and caudate nucleus. A standardized interhemispheric approach through the posterior corpus callosum and into the atrium of the lateral ventricle was utilized for the surgical removal of these AVM's. Total removal was confirmed by angiography in 18 patients; removal was subtotal in four cases. There were no deaths in this group of patients. Disturbances of recent memory pre- and postoperatively were seen in half of the patients, but most of these deficits were temporary. Other complications included: postoperative homonymous hemianopsia (six cases), transient hemiparesis (three cases), hemisensory loss (two cases), Parinaud's syndrome (one case), and recurrent hemorrhage 2 years after surgery (one case). All 22 patients returned to their previous occupations and are leading independent lives. The results of this experience indicate that thalamocaudate AVM's can be effectively treated by resection.

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Contributor Notes

Address reprint requests to: Robert A. Solomon, M.D., Room 204, The Neurological Institute, 710 West 168th Street, New York, New York 10032.
  • 1.

    Dandy WE: Diagnosis, localization and removal of tumors of the third ventricle. Bull Johns Hopkins Hosp 33:188189, 1922 Dandy WE: Diagnosis, localization and removal of tumors of the third ventricle. Bull Johns Hopkins Hosp 33:188–189, 1922

    • Search Google Scholar
    • Export Citation
  • 2.

    Drake CG: Cerebral arteriovenous malformations: considerations for and experience with surgical treatment in 166 cases. Clin Neurosurg 26:145208, 1979 Drake CG: Cerebral arteriovenous malformations: considerations for and experience with surgical treatment in 166 cases. Clin Neurosurg 26:145–208, 1979

    • Search Google Scholar
    • Export Citation
  • 3.

    Heros RC: Arteriovenous malformations of the medial temporal lobe. Surgical approach and neuroradiological characterization. J Neurosurg 56:4452, 1982 Heros RC: Arteriovenous malformations of the medial temporal lobe. Surgical approach and neuroradiological characterization. J Neurosurg 56:44–52, 1982

    • Search Google Scholar
    • Export Citation
  • 4.

    Juhász J: Surgical treatment of arteriovenous angiomas localised in the corpus callosum, basal ganglia and near the brain stem. Acta Neurochir 40:83101, 1978 Juhász J: Surgical treatment of arteriovenous angiomas localised in the corpus callosum, basal ganglia and near the brain stem. Acta Neurochir 40:83–101, 1978

    • Search Google Scholar
    • Export Citation
  • 5.

    Kunc Z: Deep seated arteriovenous malformations: a critical review, in Carrea R (ed): Neurological Surgery, with Special Emphasis on Non-Invasive Methods of Diagnosis and Treatment. Amsterdam: Excerpta Medica, 1978, pp 188193 Kunc Z: Deep seated arteriovenous malformations: a critical review, in Carrea R (ed): Neurological Surgery, with Special Emphasis on Non-Invasive Methods of Diagnosis and Treatment. Amsterdam: Excerpta Medica, 1978, pp 188–193

    • Search Google Scholar
    • Export Citation
  • 6.

    Luessenhop AJ: Natural history of cerebral arteriovenous malformations, in Wilson CB, & Stein BM (eds): Intracranial Arteriovenous Malformations. Baltimore: Williams & Wilkins, 1984, pp 1223 Luessenhop AJ: Natural history of cerebral arteriovenous malformations, in Wilson CB, Stein BM (eds): Intracranial Arteriovenous Malformations. Baltimore: Williams & Wilkins, 1984, pp 12–23

    • Search Google Scholar
    • Export Citation
  • 7.

    Mohr JP: Neurological manifestations and factors related to therapeutic decisions, in Wilson CB, & Stein BM (eds): Intracranial Arteriovenous Malformations. Baltimore: Williams & Wilkins, 1984, pp 111 Mohr JP: Neurological manifestations and factors related to therapeutic decisions, in Wilson CB, Stein BM (eds): Intracranial Arteriovenous Malformations. Baltimore: Williams & Wilkins, 1984, pp 1–11

    • Search Google Scholar
    • Export Citation
  • 8.

    Morello G, & Borghi GP: Cerebral angiomas. A report of 154 personal cases and a comparison between the results of surgical excision and conservative management. Acta Neurochir 28:135155, 1973 Morello G, Borghi GP: Cerebral angiomas. A report of 154 personal cases and a comparison between the results of surgical excision and conservative management. Acta Neurochir 28:135–155, 1973

    • Search Google Scholar
    • Export Citation
  • 9.

    Solomon RA, & Stein BM: Management of arteriovenous malformations of the brain stem. J Neurosurg 64:857864, 1986 Solomon RA, Stein BM: Management of arteriovenous malformations of the brain stem. J Neurosurg 64:857–864, 1986

    • Search Google Scholar
    • Export Citation
  • 10.

    Solomon RA, & Stein BM: Surgical management of arteriovenous malformations that follow the tentorial ring. Neurosurgery 18:708715, 1986 Solomon RA, Stein BM: Surgical management of arteriovenous malformations that follow the tentorial ring. Neurosurgery 18:708–715, 1986

    • Search Google Scholar
    • Export Citation
  • 11.

    Stein BM: Arteriovenous malformations of the medial cerebral hemisphere and the limbic system. J Neurosurg 60:2331, 1984 Stein BM: Arteriovenous malformations of the medial cerebral hemisphere and the limbic system. J Neurosurg 60:23–31, 1984

    • Search Google Scholar
    • Export Citation
  • 12.

    Stein BM: General techniques for the surgical removal of arteriovenous malformations, in Wilson CB, & Stein BM (eds): Intracranial Arteriovenous Malformations. Baltimore: Williams & Wilkins, 1984, pp 143155 Stein BM: General techniques for the surgical removal of arteriovenous malformations, in Wilson CB, Stein BM (eds): Intracranial Arteriovenous Malformations. Baltimore: Williams & Wilkins, 1984, pp 143–155

    • Search Google Scholar
    • Export Citation
  • 13.

    Stein BM, & Wolpert SM: Arteriovenous malformations of the brain. II. Current concepts and treatment. Arch Neurol 37:6975, 1980 Stein BM, Wolpert SM: Arteriovenous malformations of the brain. II. Current concepts and treatment. Arch Neurol 37:69–75, 1980

    • Search Google Scholar
    • Export Citation
  • 14.

    Steiner L: Treatment of arteriovenous malformations by radiosurgery, in Wilson CB, & Stein BM (eds): Intracranial Arteriovenous Malformations. Baltimore: Williams & Wilkins, 1984, pp 295313 Steiner L: Treatment of arteriovenous malformations by radiosurgery, in Wilson CB, Stein BM (eds): Intracranial Arteriovenous Malformations. Baltimore: Williams & Wilkins, 1984, pp 295–313

    • Search Google Scholar
    • Export Citation
  • 15.

    U HS: Microsurgical excision of paraventricular arteriovenous malformations. Neurosurgery 16:293303, 1985 U HS: Microsurgical excision of paraventricular arteriovenous malformations. Neurosurgery 16:293–303, 1985

    • Search Google Scholar
    • Export Citation
  • 16.

    Viale GL, , Turtas S, & Pau A: Surgical removal of striate arteriovenous malformations. Surg Neurol 14:321324, 1980 Viale GL, Turtas S, Pau A: Surgical removal of striate arteriovenous malformations. Surg Neurol 14:321–324, 1980

    • Search Google Scholar
    • Export Citation
  • 17.

    Wilson CB, & Martin NA: Deep supratentorial arteriovenous malformations, in Wilson CB, & Stein BM (eds): Intracranial Arteriovenous Malformations. Baltimore: Williams & Wilkins, 1984, pp 184208 Wilson CB, Martin NA: Deep supratentorial arteriovenous malformations, in Wilson CB, Stein BM (eds): Intracranial Arteriovenous Malformations. Baltimore: Williams & Wilkins, 1984, pp 184–208

    • Search Google Scholar
    • Export Citation
  • 18.

    Yaşargil MG, , Jain KK, & Antic J, et al: Arteriovenous malformations of the splenium of the corpus callosum: microsurgical treatment. Surg Neurol 5:514, 1976 Yaşargil MG, Jain KK, Antic J, et al: Arteriovenous malformations of the splenium of the corpus callosum: microsurgical treatment. Surg Neurol 5:5–14, 1976

    • Search Google Scholar
    • Export Citation

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