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

Abstract:

: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.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Duan H,Hara Y,Goto T,Chiba A,Hongo K

doi

10.1007/s00701-016-2870-9

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

1533-8

issue

8

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-016-2870-9

journal_volume

158

pub_type

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