Endoport-assisted microsurgical resection of cerebral cavernous malformations

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Dale DingKenneth C Liu

Abstract

The aim of this case series is to describe the surgical technique and postoperative outcomes for endoport-assisted microsurgical resection (EAMR) of cerebral cavernous malformations (CCM). Significant manipulation of subcortical white matter tracts may be necessary for the successful resection of CCM located in deep brain regions. Minimally invasive neurosurgical devices such as endoport systems can decrease disruption of the cortex and white matter tracts overlying deep-seated CCM through small cranial and dural openings. The role of endoport technology in modern CCM surgery is incompletely understood. Three patients with symptomatic CCM underwent EAMR at our institution using the BrainPath endoport system (NICO Corporation, Indianapolis, IN, USA). Complete resection was achieved in two patients. One patient with a large 4.5cm callosal CCM was left with a small residual lesion. There were no postoperative complications and all patients were functionally independent (modified Rankin Scale score 2 or less) at follow-up. Based on our initial experience with EAMR for CCM we believe the endoport can be an effective alternative to traditional retractor systems. Due to the nature of the small craniotomy and durotomy performed for end...Continue Reading

References

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Citations

Aug 5, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Colin J PrzybylowskiKenneth C Liu
May 20, 2016·Case Reports in Neurological Medicine·Ching-Jen ChenKenneth C Liu
Nov 21, 2017·Journal of Cerebrovascular and Endovascular Neurosurgery·Dale DingKenneth C Liu
Dec 12, 2017·IEEE Transactions on Robotics : a Publication of the IEEE Robotics and Automation Society·Yeongjin KimJaydev P Desai
Sep 30, 2017·Operative Neurosurgery·Alex M WitekMark D Bain
Apr 16, 2020·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Junhao ZhuChiyuan Ma
May 16, 2017·Journal of Cerebrovascular and Endovascular Neurosurgery·Dale DingKenneth C Liu

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