• Journal of neurosurgery · Sep 2017

    Case Reports

    Endoscopic endonasal transclival resection of a ventral pontine cavernous malformation: technical case report.

    • Juan Luis Gómez-Amador, Luis Alberto Ortega-Porcayo, Isaac Jair Palacios-Ortíz, Alexander Perdomo-Pantoja, Felipe Eduardo Nares-López, and Alfredo Vega-Alarcón.
    • Departments of 1 Neurological Surgery and.
    • J. Neurosurg. 2017 Sep 1; 127 (3): 553-558.

    AbstractBrainstem cavernous malformations are challenging due to the critical anatomy and potential surgical risks. Anterolateral, lateral, and dorsal surgical approaches provide limited ventral exposure of the brainstem. The authors present a case of a midline ventral pontine cavernous malformation resected through an endoscopic endonasal transclival approach based on minimal brainstem transection, negligible cranial nerve manipulation, and a straightforward trajectory. Technical and reconstruction technique advances in endoscopic endonasal skull base surgery provide a direct, safe, and effective corridor to the brainstem.

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