A Surgical Approach in Arteriovenous Malformation of the Medical Temporal Lobe

ABSTRACT

Arteriovenous malformation(AVM) of the medial temporal lobe would be interesting to neurosurgeons enough to draw their attentions because it's obscure location, making resection more difficult than the usual AVM and high possibility of operative morbidity caused by intraventricular hermorrhage and/or injury of the adjacent structures such as optic tract, brain stem and basal ganglia. A patient who underwent successful excision of AVM of this region is presented. It has ben confirmed that a transcortical surgical approach through the inferior portion of the temporal lobe could minimize retraction of the brain to avoid operative morbidity and manage a main feeding artery without difficulty.