Surgical management for ponto-mesencephalic cavernoma: determining the brainstem safe entry zone – a case report

• DOI: 10.15562/bmj.v12i3.4976
• Publication Date: 2024-03-11T00:32:21Z
• Authors: Fariz Eka Setiawan; Muhamad Thohar Ar...; Krisna Tsaniadi P...; Happy Kurnia Brot...; Ajid Risdianto; Yuriz Bakhtiar; Dody Priambada; Erie Bambang Priy...; Zainal Muttaqin
• Keywords: Cavernous malformations; Neuronavigation

Introduction: Cavernous malformations of the brainstem are groups dilated sinusoidal tracts. The surgical excision cavernous abnormalities is high-risk and challenging. Clinical manifestations due to mass effect or hemorrhage, as well MRI studies, have become valuable factors in determining most appropriate procedure for cavernoma achieve safe entry zone brainstem. Case: A case report on a reported here. 10-year-old male with pontomesencephalic presented. was surgically removed using lateral supracerebellar infratentorial approach. point obtained an intraoperative neuromonitoring (IOM) spite neuronavigation devices. Post-op images revealed small residual mass. patient had favorable outcome discharged day 5. Conclusion: Recognizing microsurgical anatomical landmark instrument will be critical preventing neurologic function injury.