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Journal of Korean Neurosurgical Society 1984;13(4): 715-723.
Microsurgical Removal Technique of the Spinal Intramedullary Glomus AVM with Intraoperative Monitoring of the Somatosensory-Evoked Potential(SEP).
Joon Ki Kang, Chun Kun Park, Moon Chan Kim, Jin Un Song, Young Bae Kim
1Department of Neurosurgery, Kangnam St. Mary's Hospital Catholic Medical College, Seoul, Korea.
2Department of Electroencephalography, Kangnam St. Mary's Hospital Catholic Medical College, Seoul, Korea.
ABSTRACT
The surgical treatment of spinal arteriovenous malformations has been improved markedly during the last several years by use of the operating microscope and microsurgical instrumentations. The possibility of total removal has been viewed pessimistically. However, total extirpation of spinal intramedullary arteriovenous malformation(AVM) can be possible by use of intraoperative monitoring of the somatosensory evoked potentials(SEPs). Authors report a case of spinal intramedullary glomus AVM which was successfully removed with intraoperative monitoring of the SEPs and discuss surgical management. Intraoperative monitoring of the SEPs to determine the safety of removing of the spinal intramedullary AVM is stressed.
Key Words: Spinal arteriovenous malformation; Intraoperative monitoring of SEPs; Microsurgical excision
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