Pretemporal transcavernous transtentorial approach for right pontine cavernous malformation

A 57-year-old man presented with acute changes in mental status. Brain CT showed a high-density lesion at the pons. Brain MRA revealed a very slow-flow vascular lesion at the right aspect of the pons, about 3.9 ⋅ 3.0 ⋅ 3.0 cm(3), compatible with a pontine cavernous malformation (CM). Gross-total rem...

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Autores principales: Hsu, Xavier T. J., Liao, Chih-Hsiang, Lin, Chun-Fu, Hsu, Sanford P. C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2019
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541725/
https://www.ncbi.nlm.nih.gov/pubmed/36285045
http://dx.doi.org/10.3171/2019.7.FocusVid.19156
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author Hsu, Xavier T. J.
Liao, Chih-Hsiang
Lin, Chun-Fu
Hsu, Sanford P. C.
author_facet Hsu, Xavier T. J.
Liao, Chih-Hsiang
Lin, Chun-Fu
Hsu, Sanford P. C.
author_sort Hsu, Xavier T. J.
collection PubMed
description A 57-year-old man presented with acute changes in mental status. Brain CT showed a high-density lesion at the pons. Brain MRA revealed a very slow-flow vascular lesion at the right aspect of the pons, about 3.9 ⋅ 3.0 ⋅ 3.0 cm(3), compatible with a pontine cavernous malformation (CM). Gross-total removal was achieved. In this approach, a wider surgical corridor was obtained by opening the Meckel’s cave and cutting the tentorium. For a midline attack point on the pons, additional removal of the posterior clinoid process can meet the goal. In the authors’ opinion, this approach is safe and effective in selected ventrolateral pontine CMs. The video can be found here: https://youtu.be/moHqEkp5eCA.
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spelling pubmed-95417252022-10-24 Pretemporal transcavernous transtentorial approach for right pontine cavernous malformation Hsu, Xavier T. J. Liao, Chih-Hsiang Lin, Chun-Fu Hsu, Sanford P. C. Neurosurg Focus Video Article A 57-year-old man presented with acute changes in mental status. Brain CT showed a high-density lesion at the pons. Brain MRA revealed a very slow-flow vascular lesion at the right aspect of the pons, about 3.9 ⋅ 3.0 ⋅ 3.0 cm(3), compatible with a pontine cavernous malformation (CM). Gross-total removal was achieved. In this approach, a wider surgical corridor was obtained by opening the Meckel’s cave and cutting the tentorium. For a midline attack point on the pons, additional removal of the posterior clinoid process can meet the goal. In the authors’ opinion, this approach is safe and effective in selected ventrolateral pontine CMs. The video can be found here: https://youtu.be/moHqEkp5eCA. American Association of Neurological Surgeons 2019-07-01 /pmc/articles/PMC9541725/ /pubmed/36285045 http://dx.doi.org/10.3171/2019.7.FocusVid.19156 Text en © 2019, Xavier T. J. Hsu, Chih-Hsiang Liao, Chun-Fu Lin, Sanford P. C. Hsu https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the CC BY license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Hsu, Xavier T. J.
Liao, Chih-Hsiang
Lin, Chun-Fu
Hsu, Sanford P. C.
Pretemporal transcavernous transtentorial approach for right pontine cavernous malformation
title Pretemporal transcavernous transtentorial approach for right pontine cavernous malformation
title_full Pretemporal transcavernous transtentorial approach for right pontine cavernous malformation
title_fullStr Pretemporal transcavernous transtentorial approach for right pontine cavernous malformation
title_full_unstemmed Pretemporal transcavernous transtentorial approach for right pontine cavernous malformation
title_short Pretemporal transcavernous transtentorial approach for right pontine cavernous malformation
title_sort pretemporal transcavernous transtentorial approach for right pontine cavernous malformation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541725/
https://www.ncbi.nlm.nih.gov/pubmed/36285045
http://dx.doi.org/10.3171/2019.7.FocusVid.19156
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