Mao Vásquez, Luis J Saavedra, Alejandro Apaza, Yelimer Caucha, Miguel Lozano, Jhon Vargas, Daniel Cuya, Dennis S Heredia, William W Lines-Aguilar
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Abstract
Objective: Cavernous malformations of the brainstem (BSCM) often cause severe morbidity and mortality. Literature is limited for the optimal surgical approach. Our objective is to demonstrate successful use of the posterior median sulcus to access BSCM.
Methods: We present the case of a 20-year-old woman with an exophytic cavernous malformation of the brainstem showing signs of acute bleeding. The lesion, located near the ventricle surface, was successfully excised with entry through the posterior median sulcus.
Results: The patient sustained a mild post-operative weakness but no bulbar symptoms. Complete resection was confirmed on MRI.
Conclusions: The posterior median sulcus is a safe route for exophytic lesions of the medulla.
期刊介绍：
World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal''s mission is to:
-To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care.
-To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide.
-To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients.
Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
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