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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...

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Autores principales: Hosainey, Sayied Abdol Mohieb, Meling, Torstein R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2014
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.
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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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