Operating Brain AVMs in Puerto Rico

On the third floor of the HIMA San Pablo Hospital in Caguas, Dr. Nirav Patel traces a kind of arc on the head of the sedated young man with his dark violet Viscot surgical marker. These marks serve as instructions for

Dr. Rodolfo Alcedo Guardia to cut the skin and expose the muscle that protects the skull. Once this muscle is removed, a piece of the skull is extracted, revealing the brain.