دورية أكاديمية
Surgical management for ponto-mesencephalic cavernoma: determining the brainstem safe entry zone – a case report
| العنوان: | Surgical management for ponto-mesencephalic cavernoma: determining the brainstem safe entry zone – a case report |
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| المؤلفون: | Setiawan, Fariz Eka, Arifin, Muhamad Thohar, Prihastomo, Krisna Tsaniadi, Brotoarianto, Happy Kurnia, Risdianto, Ajid, Bakhtiar, Yuriz, Priambada, Dody, Andar, Erie Bambang Priyono Setyabudi, Muttaqin, Zainal |
| المصدر: | Bali Medical Journal; Vol. 12 No. 3 (2023): Available online : 1 December 2023; 3322-3325 ; 2302-2914 ; 2089-1180 |
| بيانات النشر: | DiscoverSys Inc. |
| سنة النشر: | 2023 |
| المجموعة: | Bali Medical Journal |
| مصطلحات موضوعية: | brainstem cavernoma, safe entry zone, surgery |
| الوصف: | Introduction: Cavernous malformations of the brainstem are groups of dilated sinusoidal tracts. The surgical excision of cavernous abnormalities of the brainstem is high-risk and challenging. Clinical manifestations due to mass effect or hemorrhage, as well as MRI studies, have become valuable factors in determining the most appropriate procedure for brainstem cavernoma to achieve the safe entry zone of the brainstem. Case: A case report on a brainstem cavernoma is reported here. A 10-year-old male with a pontomesencephalic cavernoma is presented. The cavernoma was surgically removed using a lateral supracerebellar infratentorial approach. The safe brainstem entry point was obtained with an intraoperative neuromonitoring (IOM) in spite of a neuronavigation devices. Post-op MRI images revealed a small residual mass. The patient had a favorable surgical outcome and was discharged on day 5. Conclusion: Recognizing a microsurgical anatomical landmark and an intraoperative neuromonitoring instrument will be critical in preventing neurologic function injury. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://balimedicaljournal.org/index.php/bmj/article/view/4976/3141Test; https://balimedicaljournal.org/index.php/bmj/article/view/4976Test |
| DOI: | 10.15562/bmj.v12i3.4976 |
| الإتاحة: | https://doi.org/10.15562/bmj.v12i3.4976Test https://balimedicaljournal.org/index.php/bmj/article/view/4976Test |
| حقوق: | http://creativecommons.org/licenses/by-nc-nd/4.0Test |
| رقم الانضمام: | edsbas.E913B507 |
| قاعدة البيانات: | BASE |
| DOI: | 10.15562/bmj.v12i3.4976 |
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