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Implementation of high-definition fiber tractography for preoperative evaluation and surgical planning of brainstem cavernous malformation: long-term outcomes.
J Neurosurg
November 2024
Departments of1Neurological Surgery and.
Objective: The aim of this study was to describe the role and long-term outcomes of high-definition fiber tractography (HDFT) in the surgical management of brainstem cavernomas.
Methods: The authors performed a retrospective evaluation of their database at the HDFT laboratory in a single academic institution.
Results: The authors identified 11 patients with brainstem cavernomas who had HDFT for preoperative workup and underwent microsurgical resection.
The tonsillouvular fissure approach to exophytic cavernous malformation in the lateral recess of the fourth ventricle: 2-dimensional operative video.
J Clin Neurosci
October 2024
Semmes-Murphey Clinic and Department of Neurosurgery, University of Tennessee, Memphis, TN, USA.
Cavernous malformations surrounding the fourth ventricle are challenging lesions to access and treat surgically owing to the complexity and eloquence of adjacent neural tissue [1] Long-standing practice included tissue transgression through the overlying cerebellar cortical surface of the hemisphere or vermis [1-3]. Using natural corridors such as tonsillobiventral fissure, cerebellomedullary fissure, and tonsillouvular fissure (TUF) offers elegant access to the fourth ventricle, avoiding traversing of neural tissue [4-7]. A 32-year-old male presented with headache, nausea, vomiting, double vision, and vertigo.
View Article and Find Full Text PDFIsolated cavernous venous malformation of the eyelid.
Digit J Ophthalmol
April 2024
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Cavernous hemangioma, currently known as "cavernous venous malformation," is a common, benign, non-infiltrative, slowly progressive vascular malformation of the orbit presenting in adults. We report the case of a 9-year-old girl who presented with a painless palpable mass over the right upper eyelid of 7 years' duration. A computed tomography scan of the orbits revealed a heterogeneously enhancing, well-circumscribed mass in the right upper eyelid with no orbital extension.
View Article and Find Full Text PDFGiant brainstem cavernoma in pediatrics: diagnosis and treatment-case report.
Childs Nerv Syst
June 2024
Garrahan Hospital, Buenos Aires, Argentina.
Introduction: Brain cavernomas or cavernous angiomas are a rare vascular malformation in the general population, even more so in pediatric patients. Their incidence in this group is less than 5% of all vascular malformations. They are typically found in the cerebral hemispheres in cortico-subcortical locations and, more rarely, in the brainstem.
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