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  • Title: Insular cavernous malformation resection through a minipterional, transsylvian approach.
    Author: Nisson PL, Wicks RT, Zhao X, James WS, Xu D, Nakaji P.
    Journal: Neurosurg Focus Video; 2019 Jul; 1(1):V26. PubMed ID: 36285066.
    Abstract:
    Cavernous malformations of the brain are low-flow vascular lesions that have a propensity to hemorrhage. Extensive surgical approaches are often required for operative cure of deep-seated lesions. A 23-year-old female presented with a cavernous malformation of the left posterior insula with surrounding hematoma measuring up to 3 cm. A minimally invasive (mini-)pterional craniotomy with a transsylvian approach was selected. Endoscopic assistance was utilized to confirm complete resection of the lesion. The minipterional craniotomy is a minimally invasive approach that provides optimal exposure for sylvian fissure dissection and resection of many temporal and insular lesions. The video can be found here: https://youtu.be/9z6_EhU6lxs.
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