Abstract:
OBJECTIVE AND IMPORTANCE:We describe a case of brainstem cavernous angioma resected by the subtemporal, anterior transpetrosal approach, selected on the basis of three-dimensional anisotropy contrast (3-DAC) imaging. CLINICAL PRESENTATION:A 64-year-old woman presented with sudden headache and gait disturbance. Anatomic magnetic resonance imaging showed a mass lesion in the left anterolateral part of the pons. On 3-DAC imaging, posteromedial compression of the left corticospinal and corticopontine tracts by the mass lesion was demonstrated. INTERVENTION:The lesion was resected through the anterolateral side of the pons via the subtemporal, anterior transpetrosal approach. Neurological symptoms improved postoperatively, and postoperative 3-DAC imaging demonstrated preservation of the corticospinal and corticopontine tracts. CONCLUSION:The technique of 3-DAC imaging may provide important information regarding neural tracts for the planning of brainstem surgery.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Kashimura H,Inoue T,Ogasawara K,Ogawa Adoi
10.1227/01.NEU.0000193531.59606.CBsubject
Has Abstractpub_date
2006-02-01 00:00:00pages
ONS-E175; discussion ONS-E175issue
1 Suppleissn
0148-396Xissn
1524-4040pii
00006123-200602001-00026journal_volume
58pub_type
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