Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan 1;4(1):V11.
doi: 10.3171/2020.10.FOCVID2063. eCollection 2021 Jan.

Usefulness of the middle cerebellar peduncle approach for microsurgical resection of lateral pontine arteriovenous malformation

Shinsuke Tominaga  1 , Miyahito Kugai  1 , Kou Matsuda  1 , Keisho Yamazato  1 , Toshihiko Inui  1 , Masahiko Kitano  1 , Hiroshi Hasegawa  1
Affiliations

Usefulness of the middle cerebellar peduncle approach for microsurgical resection of lateral pontine arteriovenous malformation

Shinsuke Tominaga et al. Neurosurg Focus Video. .

Abstract

Surgical treatment of brainstem arteriovenous malformation (AVM) is challenging and associated with a higher risk of complications and a lower rate of gross-total resection. The authors present their experience with the surgical management of lateral pontine AVM using the middle cerebellar peduncle approach. All cases presented with neurological deficits that were caused by hemorrhage before surgery. In all cases, the AVM was not visualized on postoperative angiography, and there was no deterioration of neurological symptoms. In this video, the authors report the treatment results of one case and describe the technique with a review of the literature. The video can be found here: https://youtu.be/bFvEMtMnrKw.

Keywords: lateral pontine arteriovenous malformation; middle cerebellar peduncle approach; pial transection technique; surgical treatment; video.

PubMed Disclaimer

Conflict of interest statement

Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this publication.

References

    1. Drake CG, Friedman AH, Peerless SJ. Posterior fossa arteriovenous malformations. J Neurosurg. 1986;64(1):1–10. - PubMed
    1. Han SJ, Englot DJ, Kim H, Lawton MT. Brainstem arteriovenous malformations: anatomical subtypes, assessment of “occlusion in situ” technique, and microsurgical results. J Neurosurg. 2015;122(1):107–117. - PMC - PubMed
    1. Madhugiri VS, Teo MKC, Vavao J, et al. Brainstem arteriovenous malformations: lesion characteristics and treatment outcomes. J Neurosurg. 2018;128(1):126–136. - PubMed
    1. Matsumura H, Makita Y, Someda K, Kondo A. Arteriovenous malformations in the posterior fossa. J Neurosurg. 1977;47(1):50–56. - PubMed
    1. Nozaki K, Hashimoto N, Kikuta K, et al. Surgical applications to arteriovenous malformations involving the brainstem. Neurosurgery. 2006;58(4):ONS-270–ONS-279. - PubMed

LinkOut - more resources