Zenonos Georgios A, Sur Samir, Nuñez Maximiliano, Fernandes-Cabral David T, Morcos Jacques J
Department of Neurological Surgery, University of Miami, Miami, Florida; and.
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Neurosurg Focus Video. 2019 Jul 1;1(1):V27. doi: 10.3171/2019.7.FocusVid.19172. eCollection 2019 Jul.
In this 3D video we review the case of a lower pontine cavernous malformation in a 31-year-old man who presented with hemiparesis and an abducens palsy. The cavernous malformation was completely resected through a far lateral approach and a peritrigeminal brainstem entry zone, with a significant improvement in the patient's hemiparesis. The relevant anatomy is reviewed in detail through multiple anatomical brainstem dissection specimens, as well as high-definition fiber tractography images. The rationale for the approach is analyzed relative to other possible options, and a number of technical pearls are provided. The video can be found here: https://youtu.be/fH2Q7RjlBKQ.
在这段3D视频中，我们回顾了一名31岁男性下桥脑海绵状血管畸形的病例，该患者表现为偏瘫和展神经麻痹。通过远外侧入路和三叉神经周围脑干入路，海绵状血管畸形被完全切除，患者的偏瘫症状有了显著改善。通过多个解剖学脑干解剖标本以及高清纤维束成像，详细回顾了相关解剖结构。相对于其他可能的选择，分析了该入路的原理，并提供了一些技术要点。视频可在此处找到：https://youtu.be/fH2Q7RjlBKQ 。
