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Microsurgical laser resection of brainstem cavernous malformations

This operative technique video demonstrates laser microsurgery for brainstem cavernous malformations (CMs). In case 1 we demonstrate CO(2) laser microsurgery for a symptomatic pontine CM using far lateral craniotomy and olivary zone entry. Case 2 demonstrates the subtemporal approach and removal of...

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Detalles Bibliográficos
Autores principales: Church, Ephraim W., Steinberg, Gary K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541818/
https://www.ncbi.nlm.nih.gov/pubmed/36285069
http://dx.doi.org/10.3171/2019.7.FocusVid.19163
Descripción
Sumario:This operative technique video demonstrates laser microsurgery for brainstem cavernous malformations (CMs). In case 1 we demonstrate CO(2) laser microsurgery for a symptomatic pontine CM using far lateral craniotomy and olivary zone entry. Case 2 demonstrates the subtemporal approach and removal of a paratrigeminal CM, and case 3 is a dorsal midbrain CM. We illustrate several advantages of laser microsurgery including improved visualization in narrow corridors, precise cutting with reduced thermal damage, and effective sealing of small vessels. Over the past decade at Stanford University School of Medicine, over 120 brainstem CMs have been removed using laser microsurgery with good results. The video can be found here: https://youtu.be/DwwqWGv_vzo.