Asian Journal of Neurosurgery

CASE REPORT
Year
: 2014  |  Volume : 9  |  Issue : 4  |  Page : 243-

Anterior petrosal approach for brainstem cavernoma


B Mare Pandurang, N Churi Omkar, K Misra Basant 
 Department of Neurosurgery and Gamma Knife Radiosurgery, P D Hinduja National Hospital and Medical Research Centre, V S Marg, Mahim, Mumbai, India

Correspondence Address:
K Misra Basant
Department of Neurosurgery and Gamma Knife Radiosurgery, P D Hinduja National Hospital and Medical Research Centre, V S Marg, Mahim, Mumbai - 400 016
India

Brainstem cavernomas (BC) comprise about 5-18% of intracranial vascular malformations. The annual hemorrhage rate varies depending on the study design ranging from as low as 0.25% per patient-year in a retrospective study [2] to 1.6-3.1% per patient-year in prospective studies. [4],[5] The annual event rate is significantly higher in deep (brainstem, diencephalon) and infratentorial cavernomas when compared to their counterparts in other locations. [5] The management of BC can be conservative or surgical depending upon the mode of clinical presentation. Surgical excision of a BC is a challenge because of critical anatomy. We present a case of BC, which was totally excised with anterior petrosal approach. Anterior petrosal approach has been used for excision of BC in only 17 cases until now. [6] The use of preoperative diffusion tensor imaging, tractography, intra-operative navigation, and cranial nerve monitoring will help in reducing the morbidity.


How to cite this article:
Pandurang B M, Omkar N C, Basant K M. Anterior petrosal approach for brainstem cavernoma .Asian J Neurosurg 2014;9:243-243


How to cite this URL:
Pandurang B M, Omkar N C, Basant K M. Anterior petrosal approach for brainstem cavernoma . Asian J Neurosurg [serial online] 2014 [cited 2019 Oct 19 ];9:243-243
Available from: http://www.asianjns.org/article.asp?issn=1793-5482;year=2014;volume=9;issue=4;spage=243;epage=243;aulast=Pandurang;type=0