Pontine cavernous angioma resected using the subtemporal, anterior transpetrosal approach determined using three-dimensional anisotropy contrast imaging: technical case report.

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

Neurosurgery

journal_title

Neurosurgery

authors

Kashimura H,Inoue T,Ogasawara K,Ogawa A

doi

10.1227/01.NEU.0000193531.59606.CB

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

ONS-E175; discussion ONS-E175

issue

1 Suppl

eissn

0148-396X

issn

1524-4040

pii

00006123-200602001-00026

journal_volume

58

pub_type

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