| Cavernous malformation of the ventral midbrain successfully removed via a transsylvian-transpeduncular approach: case report. | |
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MedLine Citation:
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PMID: 19106496 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 37-year-old woman presented with a rare cavernous malformation of the ventral midbrain with brainstem hemorrhage manifesting as sudden onset of headache and vomiting. The lesion was removed successfully through a transsylvian approach and a medial peduncular route. Postoperatively, her oculomotor nerve paresis worsened temporarily, but diplopia disappeared 2 months after surgery. We recommend the transsylvian-transpeduncular approach if the lesion is located in the ventral midbrain and faces the ventral surface of the brainstem, because of the effective access with minimal neurological deficits. |
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Authors:
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Tadahiro Ohmura; Katsuyuki Hirakawa; Mika Ohta; Hidetsuna Utsunomiya; Takeo Fukushima |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurologia medico-chirurgica Volume: 48 ISSN: 1349-8029 ISO Abbreviation: Neurol. Med. Chir. (Tokyo) Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-12-24 Completed Date: 2009-02-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400775 Medline TA: Neurol Med Chir (Tokyo) Country: Japan |
Other Details:
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Languages: eng Pagination: 569-72 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan. tadaohm@fukuoka-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Craniotomy / methods* Female Gliosis / etiology Headache / etiology Hemangioma, Cavernous, Central Nervous System / complications, surgery* Humans Intracranial Hemorrhages / etiology*, surgery Mesencephalon / blood supply*, surgery Nausea / etiology Oculomotor Nerve Diseases / etiology Paresis / etiology Pons / blood supply*, surgery Recovery of Function |
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