[A case of cavernous angioma extended from the ventral part of the pons to the midbrain: subtemporal and trans-tentorial approach].
The authors presented a surgically treated case of cavernous angioma extending from the ventral part of the pons to the midbrain. A 20-year old man was admitted to our service with left motor weakness, dysarthria and consciousness disturbance. CT scan revealed a round well-circumscribed high density lesion in the pons and midbrain. This was diagnosed preoperatively as a cryptic vascular malformation with hemorrhage. The right temporal craniotomy with keel form skin incision and subtemporal & trans-tentorial approach was performed in an attempt to remove the hematoma and the angioma. Histological examination of the surgical specimen revealed abnormal vessels as a cavernous angioma. The postoperative course was uneventful.
Kumabe
T
T
Division of Neurosurgery, Tohoku University School of Medicine, Sendai, Japan.
Suzuki
M
M
Yoshimoto
T
T
Suzuki
J
J
D000328:Adult; D001932:Brain Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006392:Hemangioma, Cavernous / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008636:Mesencephalon / Q000000981:diagnostic imaging / Q000473:pathology; D008722:Methods; D011149:Pons / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed