Subtemporal transtentorial approach for resection of a pontomesencephalic cavernous malformation.

Autor:	Zenonos GA; Department of Neurological Surgery, University of Miami, Miami, Florida, and., Sur S; Department of Neurological Surgery, University of Miami, Miami, Florida, and., Nuñez M; Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania., Fernandes-Cabral DT; Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania., Morcos JJ; Department of Neurological Surgery, University of Miami, Miami, Florida, and.
Jazyk:	angličtina
Zdroj:	Neurosurgical focus: Video [Neurosurg Focus Video] 2019 Oct 01; Vol. 1 (2), pp. V10. Date of Electronic Publication: 2019 Oct 01 (Print Publication: 2019).
DOI:	10.3171/2019.10.FocusVid.19365
Abstrakt:	In this 3D video we review the case of a pontomesencephalic cavernous malformation in a 27-year-old woman who presented with hemiparesis and diplopia. The cavernous malformation was completely resected through a subtemporal transtentorial approach and an epitrigeminal 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/8EoIWL7XqAc. Competing Interests: Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this publication. (© 2019, Georgios A. Zenonos, Samir Sur, Maximiliano Nuñez, David T. Fernandes-Cabral, and Jacques J. Morcos.)
Databáze:	MEDLINE
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