Microsurgical resection of an inferior cerebellar peduncle cavernous malformation: 3-Dimensional operative video
Tipo
Artigo
Data de publicação
2019
Periódico
Neurosurgical Focus: Video
Citações (Scopus)
0
Autores
Ceccato G.H.W.
da Rocha R.F.M.
Goginski J.
da Silva P.H.A.
de Fraga G.S.
Rassi M.S.
Borba L.A.B.
da Rocha R.F.M.
Goginski J.
da Silva P.H.A.
de Fraga G.S.
Rassi M.S.
Borba L.A.B.
Orientador
Título da Revista
ISSN da Revista
Título de Volume
Membros da banca
Programa
Resumo
© 2019, Guilherme H. W. Ceccato, Rodolfo F. M. da Rocha, Julia Goginski, Pedro H. A. da Silva, Gabriel S. de Fraga, Marcio S. Rassi, and Luis A. B. Borba.Brainstem cavernous malformations are especially difficult to treat because of their deep location and intimate relation with eloquent structures. This is the case of a 26-year-old female presenting with dizziness, dysmetria, nystagmus and unbalance. Imaging depicted a lesion highly suggestive of a cavernous malformation in the left inferior cerebellar peduncle. Following a suboccipital midline craniotomy, the cerebellomedullary fissure was dissected and the lesion was identified bulging the surface. The malformation was completely removed with constant intraoperative neurophysiological monitor-ing. The patient presented improvement of initial symptoms with no new deficits. Surgical resection of brainstem cavernous malformations can be successfully performed, especially when superficial, using the inferior cerebellar peduncle as an entry zone. The video can be found here: https://youtu.be/-GGZe_CaZnQ.