Close
  Indian J Med Microbiol
 

Figure 1: Case report of a young patient with diplopia (VI nerve paresis). A T2-weighted-magnetic image showed a cavernous malformation with lateral extension in pons-mesencephalon-junction with hemorrhagic signs (a-c). A retrosigmoid approach was proposed, but the patient preferred to delay. After 9 months, the patient presented progressive dysphagia, dysphonia, and ataxia. A new magnetic resonance imaging showed a large cavernous malformation pontomesencephalic (T1-weighted magnetic with gadolinium) (d-f). The patient had V, VI, VIII, and IX severe cranial nerve paresis, VII mild cranial nerve paresis, sensory disturbances, ataxia, and moderate-to-mild disability (modified Rankin Scale score: 2). Intraoperative neurophysiological monitoring was used and a median approach (transvermian) was performed. A postoperative magnetic resonance imaging showed complete removal of brainstem cavernous malformation and initially, the patient was stable, and at last follow-up, presented an improvement of neurological status (g-i)

Figure 1: Case report of a young patient with diplopia (VI nerve paresis). A T2-weighted-magnetic image showed a cavernous malformation with lateral extension in pons-mesencephalon-junction with hemorrhagic signs (a-c). A retrosigmoid approach was proposed, but the patient preferred to delay. After 9 months, the patient presented progressive dysphagia, dysphonia, and ataxia. A new magnetic resonance imaging showed a large cavernous malformation pontomesencephalic (T1-weighted magnetic with gadolinium) (d-f). The patient had V, VI, VIII, and IX severe cranial nerve paresis, VII mild cranial nerve paresis, sensory disturbances, ataxia, and moderate-to-mild disability (modified Rankin Scale score: 2). Intraoperative neurophysiological monitoring was used and a median approach (transvermian) was performed. A postoperative magnetic resonance imaging showed complete removal of brainstem cavernous malformation and initially, the patient was stable, and at last follow-up, presented an improvement of neurological status (g-i)