MEDizzy
MEDizzy
Dirty Harry
Dirty Harry5 months ago
Far lateral approach for resection of lower pontine cavernous malformation

Far lateral approach for resection of lower pontine cavernous malformation

1Department of Neurological Surgery, University of Miami, Miami, Florida; and 2Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania Abstract In this 3D video we review the case of a lower pontine cavernous malformation in a 31-year-old man who presented with hemiparesis and an abducens palsy. The cavernous malformation was completely resected through a far lateral approach and a peritrigeminal brainstem entry zone, with a significant improvement in the patient’s hemiparesis. The relevant anatomy is reviewed in detail through multiple anatomical brainstem dissection specimens, as well as high-definition fiber tractography images. The rationale for the approach is analyzed relative to other possible options, and a number of technical pearls are provided.

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