Surgical treatment of brainstem cavernous malformations

Surg Neurol. 2009 Dec;72 Suppl 2:S3-9; discussion S9-10. doi: 10.1016/j.surneu.2009.05.031. Epub 2009 Aug 7.

Abstract

Background: The contemporary neurosurgeon is often confronted by cavernous malformations. Those located in the brainstem are particularly challenging

Methods: This article reviews published series on the natural history and surgical outcomes of these lesions and discusses the surgical approaches used at our institution for their resection.

Results: Despite their challenging location in the brainstem, appropriately selected lesions can be resected surgically with acceptable rates of morbidity and mortality.

Conclusions: Our institutional philosophy on the surgical treatment of brainstem cavernous malformations reflects the substantial surgical experience of the senior author.

Publication types

  • Review

MeSH terms

  • Brain Stem Neoplasms / complications
  • Brain Stem Neoplasms / pathology
  • Brain Stem Neoplasms / surgery*
  • Craniotomy / methods
  • Craniotomy / statistics & numerical data
  • Diagnostic Imaging / methods
  • Hemangioma, Cavernous, Central Nervous System / complications
  • Hemangioma, Cavernous, Central Nervous System / pathology
  • Hemangioma, Cavernous, Central Nervous System / surgery*
  • Humans
  • Intracranial Hemorrhages / etiology
  • Intracranial Hemorrhages / prevention & control
  • Intracranial Hemorrhages / surgery*
  • Neoplasm Recurrence, Local / prevention & control
  • Neuronavigation / methods
  • Neurosurgical Procedures / methods*
  • Neurosurgical Procedures / standards
  • Preoperative Care