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  • Title: Endoscopic endonasal transclival resection of a ventral pontine cavernous malformation: technical case report.
    Author: Gómez-Amador JL, Ortega-Porcayo LA, Palacios-Ortíz IJ, Perdomo-Pantoja A, Nares-López FE, Vega-Alarcón A.
    Journal: J Neurosurg; 2017 Sep; 127(3):553-558. PubMed ID: 27767395.
    Abstract:
    Brainstem cavernous malformations are challenging due to the critical anatomy and potential surgical risks. Anterolateral, lateral, and dorsal surgical approaches provide limited ventral exposure of the brainstem. The authors present a case of a midline ventral pontine cavernous malformation resected through an endoscopic endonasal transclival approach based on minimal brainstem transection, negligible cranial nerve manipulation, and a straightforward trajectory. Technical and reconstruction technique advances in endoscopic endonasal skull base surgery provide a direct, safe, and effective corridor to the brainstem.
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