• Acta neurochirurgica · Dec 2011

    Case Reports

    Resection of an inferior pontine cavernous malformation using a far-lateral transcondylar approach.

    • Sarah T Garber and William T Couldwell.
    • Department of Neurosurgery, University of Utah, Clinical Neurosciences Center, 175 N. Medical Drive East, Salt Lake City, UT 84132, USA.
    • Acta Neurochir (Wien). 2011 Dec 1;153(12):2461-4.

    BackgroundWhen considering an approach to remove a symptomatic brainstem cavernous malformation, exposure and adequate visualization of the lesion with minimal morbidity should be the primary goals.MethodWe describe the use of the far-lateral transcondylar technique to access a cavernous malformation in the lower anterior pons.ResultsThis approach accesses the inferior belly of the pons in an inferior-to-superior direction, where the cavernous malformation approaches the surface between the root exit zones of the abducens (VI) cranial nerves.ConclusionWe recommend adding this technique to the repertoire of approaches used to resect these technically challenging lesions in selected cases.

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