Microsurgical Resection of a Ruptured Left Pre-Rolandic Brain Arteriovenous Malformation: A Case Report and Review of Management Strategies
W Bennabi1*, MD, PhD; A Boudjadja1, MD; M Laidani1, MD; T Beldjebli1, MD; R Hamdane1, MD; S Khider1, MD, PhD; M Djaafer1, MD, PhD
1Department of Neurosurgery, Mustapha University Hospital Center, Algiers, Algeria.
*Corresponding Author: Bennabi Walid, Neurosurgery Department, Mustapha Pacha University Hospital, Algiers, Algeria.
DOI: https://doi.org/10.58624/SVOANE.2026.07.012
Received: April 23, 2026
Published: May 11, 2026
Citation: Bennabi W, Boudjadja A, Laidani M, Beldjebli T, Hamdane R, Khider S, Djaafer M. Microsurgical Resection of a Ruptured Left Pre-Rolandic Brain Arteriovenous Malformation: A Case Report and Review of Management Strategies. SVOA Neurology 2026, 7:3, 74-79. doi.org/10.58624/ SVOANE.2026.07.012
Abstract
Brain arteriovenous malformations (AVMs) are rare cerebrovascular lesions characterized by abnormal direct arteriovenous shunting without an intervening capillary bed. Although many AVMs remain asymptomatic, they may present with seizures, headaches, focal neurological deficits, or life-threatening intracranial hemorrhage. Hemorrhage remains the most severe complication, contributing significantly to morbidity and mortality. The annual risk of rupture is estimated at 2–4%, increasing substantially after an initial hemorrhage. Management strategies are individualized and multidisciplinary, combining microsurgical resection, endovascular embolization, and stereotactic radiosurgery. The Spetzler–Martin grading system remains essential for surgical risk assessment. We report the case of a 39-year-old man with a ruptured left pre-rolandic AVM (Spetzler–Martin Grade II) successfully treated with complete microsurgical resection. We also review current diagnostic and therapeutic strategies.
Keywords: Brain AVM, Intracerebral Hemorrhage, Cerebral Angiography, Eloquent Cortex, Microsurgery
