Surgical treatment of pontine cavernous malformations via subtemporal transtentorial and intradural anterior transpetrosal approaches

Neurosurgical Review
Sungel XieLi-Wei Zhang

Abstract

The aim of this study was to report our surgical experience on resection of the pontine cavernous malformations (CMs) via subtemporal transtentorial approach (STTA) and intradural anterior transpetrosal approach (ATPA). Clinical data were retrospectively reviewed in 61 patients with pontine CMs that were surgically treated by the STTA and the intradural ATPA. The surgical procedures, complications, and outcomes were analyzed. The study consists of 61 patients with a total of 61 pontine CMs. Other than 4 lesions located medially in the pons, all CMs were in the lateral pons with a left or right lateral epicenter (the left/right ratio was 22/35). Totally, 11 patients (18.0%) with lesions located in the upper pons were treated by the STTA, and 50 patients (82.0%) with lesions involving the lower pons were treated by the intradural ATPA. Postoperatively, the complete resection was achieved in 58 patients (95.1%) and incomplete resection in 3 patients (4.9%). Twenty-seven patients (44.3%) suffered from a new or worsened neurological deficit in the immediate postoperative period, and 8 patients (13.1%) encountered a non-neural complication, including rebleeding, cerebrospinal fluid leak, intracranial infection, and pulmonary infectio...Continue Reading

References

Dec 1, 1985·Journal of Neurosurgery·T KawaseT Mine
Jul 21, 1999·Journal of Neurosurgery·R W PorterJ M Zabramski
Jun 27, 2003·Surgical Neurology·Chung-cheng WangYuan-li Zhao
May 28, 2005·Neurosurgery·Paolo FerroliGiovanni Broggi
Mar 3, 2006·Journal of Neurosurgery·Hans-Jakob SteigerPeter A Winkler
Mar 23, 2010·Journal of Neurosurgery·Erik Friedrich HauckDuke Samson
May 4, 2010·Acta neurochirurgica·Patrick FrançoisStephane Velut
Sep 3, 2010·Neurosurgical Focus·Adib A AblaRobert F Spetzler
Sep 3, 2010·Neurosurgical Focus·Giuliano GilibertoGiuseppe Lanzino
Oct 12, 2010·Stroke; a Journal of Cerebral Circulation·Dean Y Li, Kevin J Whitehead
Apr 10, 2012·World Neurosurgery·Bradley A GrossRose Du
Aug 3, 2012·Neurosurgical Focus·Bradley A GrossOssama Al-Mefty
Oct 10, 2015·Journal of Neurosurgery·Daniel D CavalcantiRobert F Spetzler
Nov 19, 2015·World Neurosurgery·Joseph M ZabramskiRobert F Spetzler
Dec 15, 2015·Lancet Neurology·Margaret A HorneUNKNOWN Cerebral Cavernous Malformations Individual Patient Data Meta-analysis Collaborators
Apr 5, 2016·Neurosurgical Review·Shinya IchimuraPeter Vajkoczy
Apr 18, 2016·Neurosurgical Review·Shunsuke ShibaoKazunari Yoshida
Jul 18, 2016·Journal of the Neurological Sciences·Matthias ReinhardUlrich Geisen
Dec 4, 2016·World Neurosurgery·Xiaoming GuoArnau Benet
Jul 8, 2017·Journal of Neurosurgery·Abdulfettah TumturkMustafa K Baskaya

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