Morisako Hiroki, Goto Takeo, Bohoun Christian A, Arima Hironori, Ichinose Tsutomu, Ohata Kenji
Department of Neurosurgery, Osaka City University Graduate School of Medicine, Abeno-ku, Osaka, Japan.
Neurosurg Focus Video. 2019 Jul 1;1(1):V4. doi: 10.3171/2019.7.FocusVid.19125. eCollection 2019 Jul.
Surgical resection of pontine cavernous malformation remains a particularly formidable challenge. We report the surgical outcome of eight cases with pontine cavernous malformations operated using the anterior transpetrosal approach. All cases presented with neurological deficits caused by hemorrhage before surgery. Gross-total removal was achieved in all cases without any postoperative complication such as worsening of facial nerve palsy, ocular movement disorder, or hemiplegia. A small incision of the pons with multidirectional dissection is the most important factor for minimizing postoperative neurological deficits, so resection of a pontine cavernous malformation via this approach can be an alternative better option. The video can be found here: https://youtu.be/2Q2CUhBbo28.
桥脑海绵状血管畸形的手术切除仍然是一项特别艰巨的挑战。我们报告了8例采用经岩前入路手术治疗的桥脑海绵状血管畸形患者的手术结果。所有病例术前均因出血出现神经功能缺损。所有病例均实现了全切，且无任何术后并发症，如面神经麻痹加重、眼球运动障碍或偏瘫。对脑桥进行小切口并多方向分离是将术后神经功能缺损降至最低的最重要因素，因此通过该入路切除桥脑海绵状血管畸形可能是一个更好的选择。视频可在此处查看：https://youtu.be/2Q2CUhBbo28 。
