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Published in: Acta Neurochirurgica 3/2022

01-03-2022 | Glioma | How I Do it - Tumor - Glioma

How I do it: surgical resection of ventrolateral pontomesencephalic junction glioma via oculomotor-tentorial triangle

Authors: Zixiao Yang, Zhifeng Shi, Xiaowen Wang, Jianping Song

Published in: Acta Neurochirurgica | Issue 3/2022

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Abstract

Background

The surgical resection of the pontomesencephalic junction (PMJ) glioma is difficult because the access is challenging due to nearby complicated neurovascular structures.

Method

We report a left ventrolateral PMJ glioma successfully resected via the oculomotor-tentorial triangle (OTT), with improved right extremity weakness postoperatively while preserving the pyramidal tract, which resided laterally and posteriorly to the lesion.

Conclusion

This case demonstrates the value of the OTT in brainstem surgery.
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Metadata
Title
How I do it: surgical resection of ventrolateral pontomesencephalic junction glioma via oculomotor-tentorial triangle
Authors
Zixiao Yang
Zhifeng Shi
Xiaowen Wang
Jianping Song
Publication date
01-03-2022
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 3/2022
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-021-04882-4

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