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Microsurgical resection of large parieto occipital avm

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Monir Hossain
Monir Hossain

Microsurgical resection of large parieto occipital avm

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Microsurgical resection of large parieto-occipital AVM Presented by Dr. S. M. Monir Hossain Assistant Registrar Clinical Neurosurgery
Particulars of patient • Name : Mrs. Sabina Yeasmin • Age: 48 years • Address : Cox’sbazar • Normotensive, Nondiabetic • Right handed
Presenting features • Sub Arachnoid Hemorrhage • H/O Sudden unconsciousness • Left sided Hemiparesis
Preoperative imaging MRI
Preoperative imaging CT Angiogram ACA PCA
Preoperative imaging MR Angiogram
Feeder Arteries 1. Rt. Posterior Cerebral Artery 2. Rt. Anterior Cerebral Artery 3. Rt. Posterior Choroidal Artery RPCA
Craniotomy Flap
Excised AVM
Post operative
Complications • Per operative Extradural hemorrhage during craniotomy- – Effectively managed using bone wax and extending the craniotomy • Normal perfusion Pressure Breakthrough – Managed by lowering Blood pressure using Combined alpha & beta blockers • Post operative wound infection – Managed conservatively using antibiotics
THANK YOU

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