• Iacopo Dallan, Paolo Battaglia, Matteo de Notaris, Michele Caniglia, and Mario Turri-Zanoni.
• Otorhinolaryngology 1st Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy; Head and Neck Surgery & Forensic Dissection Research Center (HNS&FDRc), University of Insubria, Varese, Italy.
• Int. J. Pediatr. Otorhinolaryngol. 2015 Sep 1; 79 (9): 1584-8.

AbstractCavernous malformations of the brainstem are difficult to manage because of their location in eloquent tissue and their high propensity for symptomatic bleeding. Traditional neurosurgical approaches are often associated with significant morbidities. Here we present the case of a 15 year-old male patient with an acute onset of severe cephalalgia associated with neurological signs (right cranial nerve VI, VII and VIII palsies). MRI revealed a ventral pontine cavernous malformation with signs of recent bleeding. The lesion was removed by way of an endoscopic endonasal transclival approach. Post-operative neurological examination showed a dramatic improvement in cranial nerves function. The patient remains stable two years after surgery.Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

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