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. 2021 Aug 23;21(5):E449. doi: 10.1093/ons/opab288

Paramedian Supracerebellar Infratentorial Approach for Pontine Cavernoma: 2-Dimensional Operative Video

Nickalus R Khan 1, Jacques J Morcos 2,✉
PMCID: PMC8515267  PMID: 34423839

Abstract

We describe the case of a 26-yr-old male who presented with headaches, dizziness, and left hemi-hypoesthesia in addition to being COVID-19 positive. The patient was found to have a large hemorrhage in the right dorsolateral pons that was found to be due to a pontine cavernous malformation. The patient underwent a right-sided paramedian supracerebellar infratentorial approach for resection of this lesion with preservation of the developmental venous anomaly. We present the operative video with a specific focus on approach selection, anatomic illustrations, and technical nuances. The literature on the timing of brainstem cavernoma surgery is reviewed.1-4 The patient's postoperative clinical course and postoperative imaging are reviewed. The patient gave informed consent for the procedure and verbal consent for being part of this submission and the publication of their image.

Keywords: Cavernoma, Brainstem, Pons, Hemorrhage, Supracerebellar infratentorial

Funding

This study did not receive any funding or financial support.

Disclosures

The authors have no personal, financial, or institutional interest in any of the drugs, materials, or devices described in this article.

Contributor Information

Nickalus R Khan, Department of Neurological Surgery, University of Miami, Miami, Florida, USA.

Jacques J Morcos, Department of Neurological Surgery, University of Miami, Miami, Florida, USA.

REFERENCES

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Articles from Operative Neurosurgery are provided here courtesy of Oxford University Press

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