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Acta Neurochirurgica

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01-07-2020 | Craniotomy | How I Do it - Vascular Neurosurgery - Arteriovenous malformation

Suboccipital transtentorial approach to remove a cerebellar cavernous malformation adjacent to cerebellomesencephalic fissure

Authors: Peng Hu, Hong-Qi Zhang

Published in: Acta Neurochirurgica | Issue 7/2020

Abstract

Background

Microsurgical removal of cerebral cavernous malformations (CCMs) at the region of cerebellomesencephalic fissure is technical challenging.

Methods

A 51-year-old gentleman complained severe vertigo and vomiting for 10 days before admission. The symptoms did not improve after medicine treatment. Neuroimaging studies in other hospital revealed a CCM and hematoma at the region of cerebellomesencephalic fissure invading both the left cerebellum and its peduncles. The CCM was successfully removed through a suboccipital transtentorial approach. The detailed surgical techniques were reported.

Conclusion

A suboccipital transtentorial approach could be used to remove CCMs at the region of cerebellomesencephalic fissure.

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Aiba T, Tanaka R, Koike T, Kameyama S, Takeda N, Komata T (1995) Natural history of intracranial cavernous malformations. J Neurosurg 83:56–59CrossRefPubMed

Ausman JI, Malik GM, Dujovny M, Mann R (1988) Three-quarter prone approach to the pineal-tentorial region. Surg Neurol 29:298–306CrossRefPubMed

Jamieson KG (1971) Excision of pineal tumors. J Neurosurg 35:550–553CrossRefPubMed

Matsuo S, Baydin S, Gungor A, Middlebrooks EH, Komune N, Iihara K, Rhoton AL (2018) Prevention of postoperative visual field defect after the occipital transtentorial approach: anatomical study. J Neurosurg 129:188–197CrossRefPubMed

Matsushima K, Yagmurlu K, Kohno M, Rhoton AL Jr (2016) Anatomy and approaches along the cerebellar-brainstem fissures. J Neurosurg 124:248–263CrossRefPubMed

Perrini P, Lanzino G (2006) The association of venous developmental anomalies and cavernous malformations: pathophysiological, diagnostic, and surgical considerations. Neurosurg Focus 21:e5CrossRefPubMed

Poppen JL (1966) The right occipital approach to a pinealoma. J Neurosurg 25:706–710CrossRefPubMed

Title: Suboccipital transtentorial approach to remove a cerebellar cavernous malformation adjacent to cerebellomesencephalic fissure
Authors: Peng Hu
Hong-Qi Zhang
Publication date: 01-07-2020
Publisher: Springer Vienna
Keyword: Craniotomy
Published in: Acta Neurochirurgica / Issue 7/2020
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-020-04412-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Suboccipital transtentorial approach to remove a cerebellar cavernous malformation adjacent to cerebellomesencephalic fissure

Abstract

Background

Methods

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Conclusion

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