Microsurgical treatment of pontine cavernous malformations via transtelovelar approach: a clinical analysis of 12 cases

VernacularTitle:经膜髓帆入路切除桥脑背侧海绵状血管畸形12例报道
Author: Hui ZHOU ¹ ; Fuyuan WANG ; Weiye SUN ; Hui SHI
Author Information

1. 222002连云港市第一人民医院神经外科
Keywords: Cavernous malformation; Transtelovelar approach; Pons
From: Chinese Journal of Neuromedicine 2016;15(10):1056-1059
CountryChina
Language:Chinese
Abstract: Objective To explore the surgical treatment strategies,advantages and surgical indications of pontine cavernous malformations (CMs) through transtelovelar approach.Methods This study included 12 patients with pontine CMs,admitted to our hospital from January 2009 to December 2014.The clinical data of these patients were retrospective study.Results All patients received microsurgical treatment to remove the pontine CMs located in the back of pons through transtelovelar approach.The total resection was achieved in all 12 patients.Follow up was performed for 4 to 36 months,no death case was noted.Postoperative complications of worsening original symptom were noted in one patient and new neurological symptoms in one.Conclusions The transtelovelar approach can provide adequate exposure to remove the brainstem CMs located in the back of pons.Long-term follow up indicates satisfactory efficacy and prognosis of microsurgical treatment.