Strategy of microsurgery for brainstem cavernous malformations
HAN Shuo
ZHANG Xiao-hua
JIN Ke
ZHANG Feng-chen
XU Tian-qi
Lü Tao
Han Dong-hua
Abstract：Objective To evaluate the approach, skill and outcomes of surgery for brainstem cavernous malformations (BSCM). Methods The clinical data of 24 patients with BSCM, who was treated microsurgically in our hospital from January, 2004 to January, 2017, was analyzed retrospectively. All the patients were followed up for 0.5 to 10 years. Results The total resection of BSCM was achieved in 22 patients and partial resection in 2. The pneumonia occurred in 2 patients, meningitis occurred in 3, permanent neurological disfunction occurred in 5 after the surgery.The discharge from hospital against advice occurred in 1 patient with coma after the surgery. The postoperation Karnofsky performance scores were significantly improved compared with the preoperation (P<0.05). Conclusions The patients with BSCM accompanied with progressive nerve dysfunction, especially those near the surface of brainstem should be treated by microsurgery.The neuronavigation and the appropriate surgical approach according to two-point location method are very important to protecting the neurologic function intraoperatively in the patients with BSCM.
Keywords：BrianstemCavernous malformationsMicrosurgerySurgical approachOutcomes
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1-3 )