American Association of Neurological Surgeons | Medulla oblongata cavernoma removal thru a lazy far lateral approach: op video and technical nuances @AANSNeurosurgery | Uploaded April 2020 | Updated October 2024, 1 hour ago.
Carlos Candanedo, MD, Samuel Moscovici, MD, and Sergey Spektor, MD, PhD

Department of Neurosurgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Removal of brainstem cavernous malformation remains a surgical challenge. We present a case of a 63-year-old female who was diagnosed with a large cavernoma located in the medulla oblongata. The patient suffered three episodes of brainstem bleeding resulting in significant neurological deficits (hemiparesis, dysphagia, and dysarthria). It was decided to remove the cavernoma through a left-sided modified far lateral approach.3
The operative video demonstrates the surgical steps and nuances of a complete removal of this complex medulla oblongata cavernous malformation. Total resection was achieved without complications. Postoperative MRI revealed no signs of residual cavernoma with clinical improvement.


**Intro music: "Daybreak" by Graeme Rosner