Far lateral approach for resection of lower pontine 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. |
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| Jazyk: | angličtina |
| Zdroj: | Neurosurgical focus: Video [Neurosurg Focus Video] 2019 Jul 01; Vol. 1 (1), pp. V27. Date of Electronic Publication: 2019 Jul 01 (Print Publication: 2019). |
| DOI: | 10.3171/2019.7.FocusVid.19172 |
| Abstrakt: | 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. 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 article. (© 2019, Georgios A. Zenonos, Samir Sur, Maximiliano Nuñez, David T. Fernandes-Cabral, and Jacques J. Morcos.) |
| Databáze: | MEDLINE |
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