• Zhen Wang, Chunhua Qian, Lufeng Shi, Lin Wang, Jianmin Zhang, and Yongjie Wang.
• Department of Neurosurgery, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China.
• J Craniofac Surg. 2015 Oct 1; 26 (7): e577-80.

Background And PurposeTo summarize our experience in surgery approach to brainstem cavernous malformation (BSCM).MethodsA review of 23 consecutive patients with BSCM receiving surgical resection in our center between July of 2003 and June of 2014 was performed.ResultsSuboccipital approach, retrosigmoid approach, infratentorial-supracerebellar approach, Poppen approach, pterional approach, Kawase approach, and interhemispheric transcallosal-third ventrical approach were applied, of which the last 2 approaches being firstly reported in BSCM surgery. Gross total resection was achieved in 22 patients, whereas subtotal resection in 1. Neurologic function was improved in 15 patients, unchanged in 7 patients, and deteriorated in 1 patient. During a mean follow-up of 3.5 years, no recurrence occurred.ConclusionsProper surgery approach is important to assure total resection, protect normal vital structures, and avoid recurrence.

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