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  • Title: Endoscopic endonasal transclival approach for resection of a pontine cavernous malformation.
    Author: Lima LR, Reis JC, Junior GV, Vieira TF, Duarte de Souza Filho L, Silva E Carvalho T, Marques FN, Lago RS, Muniz Santana TV.
    Journal: Neurosurg Focus Video; 2019 Jul; 1(1):V3. PubMed ID: 36285056.
    Abstract:
    Symptomatic cavernous malformations in the ventral region of the pons are difficult to access surgically. The authors present a case of a 46-year-old woman with a 10-year history of sudden and transitory diplopia and right hemiparesis, followed by five more episodes of mild right hemiparesis. Brain MRI showed a 2.6-cm cavernous malformation in the pons with an exophytic portion in the prepontine cistern. The patient underwent an endoscopic endonasal transclival approach for a complete resection of the lesion. CSF leak was noted and corrected on the sixth postoperative day. The patient progressed with complete motor deficit recovery. The video can be found here: https://youtu.be/ePgpyij2Wpo.
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