Giant cavernous malformation in the ventrolateral midbrain with extension into the thalamus: a case report of a paramedian supracerebellar transtentorial approach

被引:0
作者
Hongzhou Duan
Yosuke Hara
Tetsuya Goto
Akihiro Chiba
Kazuhiro Hongo
机构
[1] Shinshu University School of Medicine,Department of Neurosurgery
[2] Peking University First Hospital,Department of Neurosurgery
来源
Acta Neurochirurgica | 2016年 / 158卷
关键词
Cavernous malformation; Surgical approach; Thalamus; Midbrain;
D O I
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中图分类号
学科分类号
摘要
Cavernous malformations (CMs) of the midbrain and thalamus are relatively rare and particularly difficult to be resected given their location in eloquent tissues. Here, we report a case of a 14-year-old boy who experienced repeated and progressive right hemiparesis. Image examinations showed a gradually enlarged CM originated in the left ventrolateral midbrain extending to the left thalamus with repeated hemorrhage. By performing a paramedian supracerebellar transtentorial approach, the CM was totally removed, and the patient recovered without any new neurological deficit. The authors’ experience suggests that this approach is eminent in treating giant lesions involving the ventrolateral midbrain and thalamus.
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页码:1533 / 1538
页数:5
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