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A 34-Year-Old Woman with Brainstem Cavernous Malformation: The Anterior Transcallosal Transchoroidal Approach and Literature Review
Mesencephalic cavernous malformations (MeCMs) account for 4 to 35% of the cavernous malformations of the central nervous system and are generally rare. Surgical resection of brainstem cavernomas are high-risk procedures and can be challenging to the neurosurgeon. Several approaches have been describ...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242893/ https://www.ncbi.nlm.nih.gov/pubmed/25485221 http://dx.doi.org/10.1055/s-0034-1387192 |
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author | Hosainey, Sayied Abdol Mohieb Meling, Torstein R. |
author_facet | Hosainey, Sayied Abdol Mohieb Meling, Torstein R. |
author_sort | Hosainey, Sayied Abdol Mohieb |
collection | PubMed |
description | Mesencephalic cavernous malformations (MeCMs) account for 4 to 35% of the cavernous malformations of the central nervous system and are generally rare. Surgical resection of brainstem cavernomas are high-risk procedures and can be challenging to the neurosurgeon. Several approaches have been described, but the approach must allow for a straight line of sight in which the surgeon, the pial incision, and the MeCM are all collinear. This alignment provides the best view of the lesion while minimizing the need for brainstem retraction. The pial incision should be chosen to minimize the distance to the lesion while avoiding critical nuclei and tracts. In this case report, we present a 34-year-old woman with a MeCM resected by an anterior transcallosal transchoroidal approach with minimal damage to surrounding brain tissue. Although rarely used, it should be considered a valuable alternative to ventrally located brainstem cavernomas. |
format | Online Article Text |
id | pubmed-4242893 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-42428932014-12-05 A 34-Year-Old Woman with Brainstem Cavernous Malformation: The Anterior Transcallosal Transchoroidal Approach and Literature Review Hosainey, Sayied Abdol Mohieb Meling, Torstein R. J Neurol Surg Rep Article Mesencephalic cavernous malformations (MeCMs) account for 4 to 35% of the cavernous malformations of the central nervous system and are generally rare. Surgical resection of brainstem cavernomas are high-risk procedures and can be challenging to the neurosurgeon. Several approaches have been described, but the approach must allow for a straight line of sight in which the surgeon, the pial incision, and the MeCM are all collinear. This alignment provides the best view of the lesion while minimizing the need for brainstem retraction. The pial incision should be chosen to minimize the distance to the lesion while avoiding critical nuclei and tracts. In this case report, we present a 34-year-old woman with a MeCM resected by an anterior transcallosal transchoroidal approach with minimal damage to surrounding brain tissue. Although rarely used, it should be considered a valuable alternative to ventrally located brainstem cavernomas. Georg Thieme Verlag KG 2014-08-21 2014-12 /pmc/articles/PMC4242893/ /pubmed/25485221 http://dx.doi.org/10.1055/s-0034-1387192 Text en © Thieme Medical Publishers |
spellingShingle | Article Hosainey, Sayied Abdol Mohieb Meling, Torstein R. A 34-Year-Old Woman with Brainstem Cavernous Malformation: The Anterior Transcallosal Transchoroidal Approach and Literature Review |
title | A 34-Year-Old Woman with Brainstem Cavernous Malformation: The Anterior Transcallosal Transchoroidal Approach and Literature Review |
title_full | A 34-Year-Old Woman with Brainstem Cavernous Malformation: The Anterior Transcallosal Transchoroidal Approach and Literature Review |
title_fullStr | A 34-Year-Old Woman with Brainstem Cavernous Malformation: The Anterior Transcallosal Transchoroidal Approach and Literature Review |
title_full_unstemmed | A 34-Year-Old Woman with Brainstem Cavernous Malformation: The Anterior Transcallosal Transchoroidal Approach and Literature Review |
title_short | A 34-Year-Old Woman with Brainstem Cavernous Malformation: The Anterior Transcallosal Transchoroidal Approach and Literature Review |
title_sort | 34-year-old woman with brainstem cavernous malformation: the anterior transcallosal transchoroidal approach and literature review |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242893/ https://www.ncbi.nlm.nih.gov/pubmed/25485221 http://dx.doi.org/10.1055/s-0034-1387192 |
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