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Intracranial pial Arteriovenous Fistulas (AVFs) are rare cerebral vascular lesions composed of one or more arterial connections to a single venous channel. We report a 50-year-old patient with a ruptured pial AVF located in an eloquent area. Microsurgery for pial AVF occlusion was proposed with awake craniotomy for motor function and neurological evaluation. Awake craniotomy is a technique that is especially useful for cerebral vascular lesions in eloquent areas, where an occlusion often compromises or suppresses the blood supply, culminating in ischemia with consequent transient or definitive deficits in neurological function. Copyright © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier España S.L.U. All rights reserved.

Citation

M Rcio Cardoso Krambek, Jo O Luiz Vitorino-Araujo, Renan Maximilian Lovato, Jos Carlos Esteves Veiga. Awake craniotomy for eloquent pial arteriovenous fistula: anesthetic and surgical consideration of a rare case. Brazilian journal of anesthesiology (Elsevier). 2024 Jan-Feb;74(1):744115

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PMID: 33891973

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