title: Endoscopic endonasal transclival resection of a ventral pontine cavernous malformation: technical case report.
abstract: Brainstem cavernous malformations are challenging due to the critical anatomy and potential surgical risks. Anterolateral, lateral, and dorsal surgical approaches provide limited ventral exposure of the brainstem. The authors present a case of a midline ventral pontine cavernous malformation resected through an endoscopic endonasal transclival approach based on minimal brainstem transection, negligible cranial nerve manipulation, and a straightforward trajectory. Technical and reconstruction technique advances in endoscopic endonasal skull base surgery provide a direct, safe, and effective corridor to the brainstem.
authors: Departments of 1 Neurological Surgery and.
authors: Juan Luis
authors: JL
authors: Gómez-Amador
authors: Departments of 1 Neurological Surgery and.
authors: Luis Alberto
authors: LA
authors: Ortega-Porcayo
authors: Departments of 1 Neurological Surgery and.
authors: Isaac Jair
authors: IJ
authors: Palacios-Ortíz
authors: Departments of 1 Neurological Surgery and.
authors: Alexander
authors: A
authors: Perdomo-Pantoja
authors: Departments of 1 Neurological Surgery and.
authors: Felipe Eduardo
authors: FE
authors: Nares-López
authors: Neuro-otology, Instituto Nacional de Neurología y Neurocirugía "Manuel Velasco Suárez"; and.|Department of Neurotology, Neurological Center, American British Cowdry Hospital, Santa Fe Campus, Mexico City, Mexico.
authors: Alfredo
authors: A
authors: Vega-Alarcón
mesh_terms: D000328:Adult; D001932:Brain Neoplasms / Q000601:surgery*; D003388:Cranial Fossa, Posterior; D020786:Hemangioma, Cavernous, Central Nervous System / Q000601:surgery*; D006801:Humans; D008297:Male; D057605:Natural Orifice Endoscopic Surgery; D044583:Neuroendoscopy; D019635:Neurosurgical Procedures / Q000379:methods*; D009666:Nose; D011149:Pons
keywords: AICA = anterior inferior cerebellar artery; BSCM = brainstem CM; CM = cavernous malformation; CN = cranial nerve; brainstem; cavernous malformation; diagnostic technique; endonasal; endoscopic; mRS = modified Rankin Scale; transclival