Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Medicine International
Join Editorial Board Propose a Special Issue
Print ISSN: 2754-3242 Online ISSN: 2754-1304
Journal Cover
July-August 2024 Volume 4 Issue 4

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
July-August 2024 Volume 4 Issue 4

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article Open Access

Awake craniotomy in patients with arteriovenous malformation: A systematic review and meta‑analysis

  • Authors:
    • Arya Harikrishna
    • Stefanos Chatzidakis
    • Angela Ishak
    • Konstantinos Faropoulos
    • George Fotakopoulos
    • Vasiliki Epameinondas Georgakopoulou
    • Pagona Sklapani
    • Nikolaos Trakas
    • Andreas Yiallouris
    • Christina Iosif
    • Aris P. Agouridis
    • George Hadjigeorgiou
  • View Affiliations / Copyright

    Affiliations: School of Medicine, European University Cyprus, 2404 Nicosia, Cyprus, Department of Neurosurgery, Nicosia General Hospital, 2031 Nicosia, Cyprus, Department of Neurosurgery, General University Hospital of Larissa, 41221 Larissa, Greece, Department of Pathophysiology, National and Kapodistrian University of Athens, 11527 Athens, Greece, Department of Biochemistry, Sismanogleio Hospital, 15126 Athens, Greece
    Copyright: © Harikrishna et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 42
    |
    Published online on: June 6, 2024
       https://doi.org/10.3892/mi.2024.166
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

The present systematic review aimed to identify all the available literature on awake craniotomy (AC) in patients with arteriovenous malformation (AVM) in order to evaluate its safety, risks, benefits and effectiveness. All available literature on AC in patients with AVM was collected and evaluated in an aim to provide a better understanding of its safety, associated risks and benefits. A systematic search for studies employing AC in patients with AVM was conducted using the PubMed, Scopus and ScienceDirect databases without restrictions on the year of publication, language, or study design, from inception up to May 30, 2021. A total of 11 studies published between 2004 and 2021 with 106 patients who underwent ACs were considered eligible. The rate of complete resection was 93% [95% confidence interval (CI), 82 to 100%; I2 0%].  The intraoperative complication rate was 21% (95% CI, 1 to 41%; I2 55%) and the post‑operative complication rate was 33% (95% CI, 19 to 48%; I2 40%). During follow‑up, the complication rate was 6% (95% CI, 1 to 10%; I2 30%). The post‑operative complication rate was higher in the Spetzler‑Martin grade (SMG) III‑V group (31%; 95% CI, 21 to 42%; I2 46%) than in the SMG I‑II group (12%; 95% CI, 2 to 22%; I2 0%). Similarly, the follow‑up complication rate was higher in the SMG III‑V group (9%; 95% CI, 2 to 16%; I2 34%) than in the SMG I‑II group (0%; 95% CI, 0 to 4%; I2 0%). On the whole, the present study provides preliminary evidence to indicate that AC is a possible and useful option for the resection of AVM in selected patients. Well‑designed future studies with long‑term follow‑up are required however, to investigate various aspects of safety and provide solid data for AC in patients with AVM.
View Figures

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

View References

1 

Ghaffar WB, Ahsan K, Shafiq F and Enam A: Anaesthetic Management of Cerebral Arterio-venous malformation excision using Awake craniotomy: Initial experience of two cases. J Coll Physicians Surg Pak. 29 (Supp l):S74–S76. 2019.PubMed/NCBI View Article : Google Scholar

2 

Fotakopoulos G, Brotis AG and Fountas KN: Dilemmas in managing coexisting arteriovenous and cavernous malformations: Case report. Brain Circ. 8:45–49. 2022.PubMed/NCBI View Article : Google Scholar

3 

Lawton MT, Rutledge WC, Kim H, Stapf C, Whitehead KJ, Li DY, Krings T, terBrugge K, Kondziolka D, Morgan MK, et al: Brain arteriovenous malformations. Nat Rev Dis Primers. 1(15008)2015.PubMed/NCBI View Article : Google Scholar

4 

Aoun RJN, Sattur MG, Krishna C, Gupta A, Welz ME, Nanney AD III, Koht AH, Tate MC, Noe KH, Sirven JI, et al: Awake surgery for brain vascular malformations and moyamoya disease. World Neurosurg. 105:659–671. 2017.PubMed/NCBI View Article : Google Scholar

5 

Solomon RA and Connolly ES Jr: Arteriovenous malformations of the brain. N Engl J Med. 376:1859–1866. 2017.PubMed/NCBI View Article : Google Scholar

6 

Szelényi A, Bello L, Duffau H, Fava E, Feigl GC, Galanda M, Neuloh G, Signorelli F and Sala F: Workgroup for Intraoperative Management in Low-Grade Glioma Surgery within the European Low-Grade Glioma Network. Intraoperative electrical stimulation in awake craniotomy: Methodological aspects of current practice. Neurosurg Focus. 28(E7)2010.PubMed/NCBI View Article : Google Scholar

7 

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, et al: The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 372(n71)2021.PubMed/NCBI View Article : Google Scholar

8 

Moola S, Munn Z, Tufanaru C, Aromataris E, Sears K, Sfetcu R, Currie M, Qureshi R, Mattis P, Lisy K and Mu PF: Chapter 7: Systematic reviews of etiology and risk. In: Aromataris E, Munn Z (eds.): JBI Manual for Evidence Synthesis. JBI, 2020. Available from https://synthesismanual.jbi.global.

9 

RStudio Team. RStudio: Integrated Development for R. [Internet]. RStudio, PBC, Boston, MA, 2023 [cited 2024 May 28]. Available from: http://www.rstudio.com/.

10 

Wang AT, Pillai P, Guran E, Carter H, Minasian T, Lenart J and Vandse R: Anesthetic management of awake craniotomy for resection of the language and motor cortex vascular malformations. World Neurosurg. 143:e136–e148. 2020.PubMed/NCBI View Article : Google Scholar

11 

Chan DYC, Chan DTM, Zhu CXL, Kan PKY, Ng AY, Hsieh YS, Abrigo J, Poon WS and Wong GKC: Awake craniotomy for excision of arteriovenous malformations? A qualitative comparison study with stereotactic radiosurgery. J Clin Neurosci. 51:52–56. 2018.PubMed/NCBI View Article : Google Scholar

12 

Zhou Q, Li M, Yi L, He B, Li X and Jiang Y: Intraoperative neuromonitoring during brain arteriovenous malformation microsurgeries and postoperative dysfunction: A retrospective follow-up study. Medicine (Baltimore). 96(e8054)2017.PubMed/NCBI View Article : Google Scholar

13 

Tolly BT, Kosky JL, Koht A and Hemmer LB: A case report of onyx pulmonary arterial embolism contributing to hypoxemia during Awake craniotomy for arteriovenous malformation resection. A A Case Rep. 8:86–88. 2017.PubMed/NCBI View Article : Google Scholar

14 

Nimmannitya P, Terakawa Y, Kawakami T, Tsuyuguchi N, Sato H, Kawashima T and Ohata K: Awake craniotomy for cortical language mapping and resection of an arteriovenous malformation adjacent to eloquent areas under general anesthesia-A hybrid approach. Interdisciplinary Neurosur. 2:186–188. 2015.

15 

Gamble AJ, Schaffer SG, Nardi DJ, Chalif DJ, Katz J and Dehdashti AR: Awake craniotomy in arteriovenous malformation surgery: The usefulness of cortical and subcortical mapping of language function in selected patients. World Neurosurg. 84:1394–1401. 2015.PubMed/NCBI View Article : Google Scholar

16 

Gabarrós A, Young WL, McDermott MW and Lawton MT: Language and motor mapping during resection of brain arteriovenous malformations: Indications, feasibility, and utility. Neurosurgery. 68:744–752. 2011.PubMed/NCBI View Article : Google Scholar

17 

Yonekawa Y, Imhof HG, Bjeljac M, Curcic M and Khan N: Three cases of AVM at eloquent areas finally treated with conventional microsurgical method. In: Yonekawa Y, Keller E, Sakurai Y, Tsukahara T, (eds.): New Trends of Surgery for Stroke and its Perioperative Management. Vienna, Springer-Verlag, pp105-110, 2005.

18 

Cannestra AF, Pouratian N, Forage J, Bookheimer SY, Martin NA and Toga AW: Functional magnetic resonance imaging and optical imaging for dominant-hemisphere perisylvian arteriovenous malformations. Neurosurgery. 55:804–814. 2004.PubMed/NCBI View Article : Google Scholar

19 

Ibrahim GM and Bernstein M: Awake craniotomy for supratentorial gliomas: Why, when and how? CNS Oncol. 1:71–83. 2012.PubMed/NCBI View Article : Google Scholar

20 

Lazar RM, Marshall RS, Pile-Spellman J, Duong HC, Mohr JP, Young WL, Solomon RL, Perera GM and DeLaPaz RL: Interhemispheric transfer of language in patients with left frontal cerebral arteriovenous malformation. Neuropsychologia. 38:1325–1332. 2000.PubMed/NCBI View Article : Google Scholar

21 

Lazar RM, Marshall RS, Pile-Spellman J, Hacein-Bey L, Young WL, Mohr JP and Stein BM: Anterior translocation of language in patients with left cerebral arteriovenous malformation. Neurology. 49:802–808. 1997.PubMed/NCBI View Article : Google Scholar

22 

Pollock BE and Brown RD: Use of the modified Rankin scale to assess outcome after arteriovenous malformation radiosurgery. Neurology. 67:1630–1634. 2006.PubMed/NCBI View Article : Google Scholar

23 

Serletis D and Bernstein M: Prospective study of awake craniotomy used routinely and nonselectively for supratentorial tumors. J Neurosurg. 107:1–6. 2007.PubMed/NCBI View Article : Google Scholar

24 

Brown T, Shah AH, Bregy A, Shah NH, Thambuswamy M, Barbarite E, Fuhrman T and Komotar RJ: Awake craniotomy for brain tumor resection: The rule rather than the exception? J Neurosurg Anesthesiol. 25:240–247. 2013.PubMed/NCBI View Article : Google Scholar

25 

Gulati S, Jakola AS, Nerland US, Weber C and Solheim O: The risk of getting worse: Surgically acquired deficits, perioperative complications, and functional outcomes after primary resection of glioblastoma. World Neurosurg. 76:572–579. 2011.PubMed/NCBI View Article : Google Scholar

26 

Chowdhury T, Zeiler FA, Singh GP, Hailu A, Loewen H, Schaller B, Cappellani RB and West M: The Role of intraoperative MRI in awake neurosurgical procedures: A systematic review. Front Oncol. 8(434)2018.PubMed/NCBI View Article : Google Scholar

27 

Derdeyn CP, Zipfel GJ, Albuquerque FC, Cooke DL, Feldmann E, Sheehan JP and Torner JC: American Heart Association Stroke Council. Management of brain Arteriovenous malformations: A scientific statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 48:e200–e224. 2017.PubMed/NCBI View Article : Google Scholar

28 

Mohr JP, Parides MK, Stapf C, Moquete E, Moy CS, Overbey JR, Al-Shahi Salman R, Vicaut E, Young WL, Houdart E, et al: Medical management with or without interventional therapy for unruptured brain arteriovenous malformations (ARUBA): A multicentre, non-blinded, randomised trial. Lancet. 383:614–621. 2014.PubMed/NCBI View Article : Google Scholar

29 

Magro E, Gentric JC, Darsaut TE, Ziegler D, Msi Bojanowski MW and Raymond J: Responses to ARUBA: A systematic review and critical analysis for the design of future arteriovenous malformation trials. J Neurosurg. 126:486–494. 2017.PubMed/NCBI View Article : Google Scholar

30 

Zhang K and Gelb AW: Awake craniotomy: Indications, benefits, and techniques. Colombian J Anesthesiol. 46:46–51. 2018.

31 

Sacko O, Lauwers-Cances V, Brauge D, Sesay M, Brenner A and Roux FE: Awake craniotomy vs surgery under general anesthesia for resection of supratentorial lesions. Neurosurgery. 68:1192–1199. 2011.PubMed/NCBI View Article : Google Scholar

32 

Englot DJ, Berger MS, Barbaro NM and Chang EF: Factors associated with seizure freedom in the surgical resection of glioneuronal tumors. Epilepsia. 53:51–57. 2012.PubMed/NCBI View Article : Google Scholar

33 

Kim SS, McCutcheon IE, Suki D, Weinberg JS, Sawaya R, Lang FF, Ferson D, Heimberger AB, DeMonte F and Prabhu SS: Awake craniotomy for brain tumors near eloquent cortex: Correlation of intraoperative cortical mapping with neurological outcomes in 309 consecutive patients. Neurosurgery. 64:836–846. 2009.PubMed/NCBI View Article : Google Scholar

34 

Rahman R, Majmundar N, San A, Sanmugananthan P, Berke C, Lang SS, Tayebi Meybodi A, Gajjar AA and Liu JK: Surgical outcomes of awake craniotomy for treatment of arteriovenous malformations in eloquent cortex: A systematic review. World Neurosurgery. 175:17–30. 2023.PubMed/NCBI View Article : Google Scholar

35 

Friedman DI: The pseudotumor cerebri syndrome. Neurol Clin. 32:363–396. 2014.PubMed/NCBI View Article : Google Scholar

36 

Pollock BE, Flickinger JC, Lunsford LD, Bissonette DJ and Kondziolka D: Factors that predict the bleeding risk of cerebral arteriovenous malformations. Stroke. 27:1–6. 1996.PubMed/NCBI View Article : Google Scholar

37 

Senturk C: Endovascular treatment of cerebral arteriovenous malformations. In: Gürer B, Kuru Bektaşoğlu P, (eds.): Vascular Malformations of the Central Nervous System. IntechOpen, 2020.

38 

Jayaraman MV, Marcellus ML, Hamilton S, Do HM, Campbell D, Chang SD, Steinberg GK and Marks MP: Neurologic complications of arteriovenous malformation embolization using liquid embolic agents. AJNR Am J Neuroradiol. 29:242–246. 2008.PubMed/NCBI View Article : Google Scholar

39 

Sugiu K, Tokunaga K, Sasahara W, Watanabe K, Nishida A, Ono S, Nishio S, Date I and Rüfenacht DA: Complications of embolization for cerebral arteriovenous malformations. Interv Neuroradiol. 10 (Suppl 2):S59–S61. 2004.PubMed/NCBI View Article : Google Scholar

40 

Lv X, Zhang Y and Wang J: Systematic review of transcatheter arterial embolization of AVM: Indications, bleeding complications, cure rate, and long-term bleeding risk. Neurol India. 68:1285–1292. 2020.PubMed/NCBI View Article : Google Scholar

Related Articles

  • Abstract
  • View
  • Download
Copy and paste a formatted citation
Spandidos Publications style
Harikrishna A, Chatzidakis S, Ishak A, Faropoulos K, Fotakopoulos G, Georgakopoulou VE, Sklapani P, Trakas N, Yiallouris A, Iosif C, Iosif C, et al: Awake craniotomy in patients with arteriovenous malformation: A systematic review and meta‑analysis. Med Int 4: 42, 2024.
APA
Harikrishna, A., Chatzidakis, S., Ishak, A., Faropoulos, K., Fotakopoulos, G., Georgakopoulou, V.E. ... Hadjigeorgiou, G. (2024). Awake craniotomy in patients with arteriovenous malformation: A systematic review and meta‑analysis. Medicine International, 4, 42. https://doi.org/10.3892/mi.2024.166
MLA
Harikrishna, A., Chatzidakis, S., Ishak, A., Faropoulos, K., Fotakopoulos, G., Georgakopoulou, V. E., Sklapani, P., Trakas, N., Yiallouris, A., Iosif, C., Agouridis, A. P., Hadjigeorgiou, G."Awake craniotomy in patients with arteriovenous malformation: A systematic review and meta‑analysis". Medicine International 4.4 (2024): 42.
Chicago
Harikrishna, A., Chatzidakis, S., Ishak, A., Faropoulos, K., Fotakopoulos, G., Georgakopoulou, V. E., Sklapani, P., Trakas, N., Yiallouris, A., Iosif, C., Agouridis, A. P., Hadjigeorgiou, G."Awake craniotomy in patients with arteriovenous malformation: A systematic review and meta‑analysis". Medicine International 4, no. 4 (2024): 42. https://doi.org/10.3892/mi.2024.166
Copy and paste a formatted citation
x
Spandidos Publications style
Harikrishna A, Chatzidakis S, Ishak A, Faropoulos K, Fotakopoulos G, Georgakopoulou VE, Sklapani P, Trakas N, Yiallouris A, Iosif C, Iosif C, et al: Awake craniotomy in patients with arteriovenous malformation: A systematic review and meta‑analysis. Med Int 4: 42, 2024.
APA
Harikrishna, A., Chatzidakis, S., Ishak, A., Faropoulos, K., Fotakopoulos, G., Georgakopoulou, V.E. ... Hadjigeorgiou, G. (2024). Awake craniotomy in patients with arteriovenous malformation: A systematic review and meta‑analysis. Medicine International, 4, 42. https://doi.org/10.3892/mi.2024.166
MLA
Harikrishna, A., Chatzidakis, S., Ishak, A., Faropoulos, K., Fotakopoulos, G., Georgakopoulou, V. E., Sklapani, P., Trakas, N., Yiallouris, A., Iosif, C., Agouridis, A. P., Hadjigeorgiou, G."Awake craniotomy in patients with arteriovenous malformation: A systematic review and meta‑analysis". Medicine International 4.4 (2024): 42.
Chicago
Harikrishna, A., Chatzidakis, S., Ishak, A., Faropoulos, K., Fotakopoulos, G., Georgakopoulou, V. E., Sklapani, P., Trakas, N., Yiallouris, A., Iosif, C., Agouridis, A. P., Hadjigeorgiou, G."Awake craniotomy in patients with arteriovenous malformation: A systematic review and meta‑analysis". Medicine International 4, no. 4 (2024): 42. https://doi.org/10.3892/mi.2024.166
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team