Far lateral approach for resection of lower pontine cavernous malformation.
brainstem anatomy
brainstem cavernous malformation
brainstem safe entry zone
cavernous malformation
far lateral approach
video
Journal
Neurosurgical focus: Video
ISSN: 2643-5217
Titre abrégé: Neurosurg Focus Video
Pays: United States
ID NLM: 101773517
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
28
02
2019
accepted:
16
05
2019
entrez:
26
10
2022
pubmed:
1
7
2019
medline:
1
7
2019
Statut:
epublish
Résumé
In this 3D video we review the case of a lower pontine cavernous malformation in a 31-year-old man who presented with hemiparesis and an abducens palsy. The cavernous malformation was completely resected through a far lateral approach and a peritrigeminal brainstem entry zone, with a significant improvement in the patient's hemiparesis. The relevant anatomy is reviewed in detail through multiple anatomical brainstem dissection specimens, as well as high-definition fiber tractography images. The rationale for the approach is analyzed relative to other possible options, and a number of technical pearls are provided. The video can be found here: https://youtu.be/fH2Q7RjlBKQ.
Identifiants
pubmed: 36285058
doi: 10.3171/2019.7.FocusVid.19172
pii: 2019.7.FocusVid.19172
pmc: PMC9541832
doi:
Types de publication
Journal Article
Langues
eng
Pagination
V27Informations de copyright
© 2019, Georgios A. Zenonos, Samir Sur, Maximiliano Nuñez, David T. Fernandes-Cabral, and Jacques J. Morcos.
Déclaration de conflit d'intérêts
Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this article.
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