title: Trans-striatocapsular contralateral interhemispheric resection of anterior inferior basal ganglia cavernous malformation.
abstract: OBJECTIVE
  To describe a technique to approach the anterior inferior basal ganglia.
  
  
  METHODS
  A 29-year-old man presented with several episodes of facial droop and a cavernous malformation anterior, inferior, and lateral to the head of the caudate nucleus. Several possible surgical approaches were considered, including a transsylvian approach and a contralateral interhemispheric approach. Ultimately, the patient underwent a contralateral interhemispheric trans-striatocapsular approach to the lesion and was discharged without neurologic deficit within 72 hours.
  
  
  CONCLUSIONS
  The approach described here is a novel alternative to transsylvian or supracarotid approaches to the anterior inferior basal ganglia and in this patient provided a well-tolerated surgical corridor that allowed complete resection of his cavernoma. We discuss several advantages and disadvantages of the various approaches to the anterior inferior basal ganglia.
authors: Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
authors: Adib A
authors: AA
authors: Abla
authors: Robert F
authors: RF
authors: Spetzler
authors: Felipe C
authors: FC
authors: Albuquerque
mesh_terms: D000328:Adult; D001479:Basal Ganglia / Q000473:pathology / Q000601:surgery*; D020144:Basal Ganglia Cerebrovascular Disease / Q000473:pathology / Q000601:surgery*; D020785:Central Nervous System Vascular Malformations / Q000473:pathology / Q000601:surgery*; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D008297:Male; D017072:Neostriatum / Q000601:surgery*