Angiographic control during total excision of a cerebral arteriovenous malformation. Technical note.

摘要: Received for publication November 2, 1967. Examinat ion . There was minimal spastic weakness of the left arm and leg. The ocular fundi were normal, visual fields full, acuity 6 / both eyes. Skull x-rays normal. electroencephalogram showed bursts spikes sharp waves on a background delta theta activity over right frontotemporal region. In spite heavy anticonvulsive medication, patient continued to have epileptic fits most days. Operation. On July 27, 1967, under endotracheal anesthesia, flap turned down. Controlled respiration Mannitol used. carotid artery exposed in neck. A polyethylene PE 160 catheter advanced into internal angiographic control during operation. When dura opened brownish discoloration prefrontal cerebral cortex noted. incised near point convergence three abnormally large arte-