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

被引：20

作者：

Luis Gomez-Amador, Juan ^{[1
]}

Alberto Ortega-Porcayo, Luis ^{[1
]}

Jair Palacios-Ortiz, Isaac ^{[1
]}

Perdomo-Pantoja, Alexander ^{[1
]}

Eduardo Nares-Lopez, Felipe ^{[1
]}

Vega-Alarcon, Alfredo ^{[2
,3
]}

机构：

[1] Inst Nacl Neurol & Neurocirugia Manuel Velasco Su, Dept Neurol Surg, Insurgentes 3877,Colonia Fama, Mexico City, DF, Mexico

[2] Inst Nacl Neurol & Neurocirugia Manuel Velasco Su, Dept Neurootol, Mexico City, DF, Mexico

[3] Amer British Cowdry Hosp, Dept Neurotol, Neurol Ctr, Santa Fe Campus, Mexico City, DF, Mexico

来源：

JOURNAL OF NEUROSURGERY | 2017年 / 127卷 / 03期

关键词：

brainstem; cavernous malformation; endonasal; endoscopic; transclival; diagnostic technique; NATURAL-HISTORY; BRAIN-STEM; TRANSPETROSAL APPROACH;

D O I：

10.3171/2016.8.JNS161137

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Brainstem 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.

引用

页码：553 / 558

页数：6

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