{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T07:45:08Z","timestamp":1782719108353,"version":"3.54.5"},"reference-count":19,"publisher":"Korean Society of Cerebrovascular Surgeons\/Korean Society of Endovascular Surgery","issue":"2","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["the-jcen.org"],"crossmark-restriction":true},"short-container-title":["J Cerebrovasc Endovasc Neurosurg"],"published-print":{"date-parts":[[2026,6,30]]},"abstract":"<jats:p>Objective: Microsurgical excision of intracranial arteriovenous malformations (AVMs) remains a surgical challenge that requires neurosurgical experience as well as neurosurgical tools. Advances in medical devices widen the range of tools that can be used to ensure patients\u2019 safety and procedural integrity. There is limited data published regarding the role of intraoperative ultrasound to ensure proper cerebral arteriovenous malformation excision.Methods: Patients who underwent ultrasound-assisted microsurgical excision of cerebral arteriovenous malformations were reviewed in a single center from 2021 through 2024. Patients\u2019 clinical, radiological, and intraoperative data were retrieved and analyzed.Results: Twenty patients were included in the study. All lesions were in the cerebral regions. The study included 20 patients, 11 (55%) of whom were males and the patients\u2019 ages ranged from 5 to 55 years. Sixteen patients (80%) presented with headache, 13 patients (65%) with seizures, 8 patients (40%) with syncope, 2 patients (10%) with vomiting, and 6 patients (30%) with weakness.Thirteen patients (65%) had intracranial hemorrhage (ICH) on presentation. For all cases, intraoperative ultrasound (IOUS) was successful in confirming total resection of the lesion. In 13 cases that involved an intracerebral hematoma took place, the hematoma was visualized easily with grey-scale B-mode ultrasound, as well as its relation to the nidus was clearly delineated.Conclusions: Intraoperative ultrasonography is a useful, cost-effective, and non-invasive tool for guiding through cerebral arteriovenous malformation microsurgical excision.<\/jats:p>","DOI":"10.7461\/jcen.2025.e2025.08.005","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T07:17:29Z","timestamp":1766992649000},"page":"140-151","update-policy":"https:\/\/doi.org\/10.7461\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound guided microsurgical resection of cerebral arteriovenous malformations"],"prefix":"10.7461","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5030-5422","authenticated-orcid":true,"given":"Mohamed M","family":"Elsherbini","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Mansoura University, Mansoura City, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed A","family":"Kassem","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mansoura University, Mansoura City, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashraf","family":"Ezzeldein","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mansoura University, Mansoura City, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Eltantawy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mansoura University, Mansoura City, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul Aziz","family":"Ismail","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mansoura University, Mansoura City, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Farouk","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mansoura University, Mansoura City, 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of intraoperative real-time ultrasound in the surgical treatment of cerebral arteriovenous malformation","author":"Zhou","year":"2005"}],"container-title":["Journal of Cerebrovascular and Endovascular 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