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. 2019 Jul 1;1(1):V10.
doi: 10.3171/2019.7.FocusVid.19164. eCollection 2019 Jul.

Supracerebellar transtentorial resection of a ruptured thalamomesencephalic cavernous malformation

Michel W Bojanowski  1 , Moujahed Labidi  1 , Nathalie L'Ecuyer  1 , Chiraz Chaalala  1
Affiliations

Supracerebellar transtentorial resection of a ruptured thalamomesencephalic cavernous malformation

Michel W Bojanowski et al. Neurosurg Focus Video. .

Abstract

Thalamomesencephalic cavernous malformations are located high in the brainstem and may be difficult to reach. We present a case of such a lesion which was successfully approached via the supracerebellar transtentorial route. Our enclosed video provides elements to justify this posterior approach and illustrates the steps required for the cavernoma's safe removal, which include opening of the tentorium and gentle retraction of the exposed temporal lobe. The video can be found here: https://youtu.be/Ex5OfLyBzPY.

Keywords: brainstem; cavernous malformation; resection; supracerebellar transtentorial; thalamus; video.

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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 article.

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