American Association of Neurological Surgeons | Supracerebellar transtentorial resection of a ruptured thalamomesencephalic cavernous malformation @AANSNeurosurgery | Uploaded July 2019 | Updated October 2024, 2 hours ago.
Michel W. Bojanowski, MD, FRCSC, Moujahed Labidi, MD, FRCSC, Nathalie L’Ecuyer, RN, and Chiraz Chaalala, MD, FRCSC
Division of Neurosurgery, Department of Surgery, Centre Hospitalier de L’Université de Montreal, Quebec, Canada
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.
**Intro music: "Daybreak" by Graeme Rosner
Michel W. Bojanowski, MD, FRCSC, Moujahed Labidi, MD, FRCSC, Nathalie L’Ecuyer, RN, and Chiraz Chaalala, MD, FRCSC
Division of Neurosurgery, Department of Surgery, Centre Hospitalier de L’Université de Montreal, Quebec, Canada
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.
**Intro music: "Daybreak" by Graeme Rosner
