Surgical Technique for Resection Cavernous Malformations of the Brain Stem
Brain stem cavernous malformations have been recognized increasingly as neuroradiographic techniques have improved. Their natural history can pursue a malignant course, but some lesions can remain clinically silent for years. It is difficult to predict the frequency and severity of each hemorrhage, although conservative or surgical management can be recommended in certain situations. Typically, patients with multiple hemorrhages, progressive deficits, severe mass effect, or lesions that clearly reach a pial surface are considered appropriate surgical candidates. Patients with asymptomatic lesions or with a significant rim of normal tissue should be followed conservatively. This article reviews the natural history of these lesions and elucidates successful preoperative, intraoperative, and postoperative strategies for the management of brain stem cavernous malformations. Copyright (C) 2000 by W.B. Saunders Company.
Operative Techniques in Neurosurgery
Digital Object Identifier (DOI)
Porter, Randall W.; Detwiler, Paul W.; and Spetzler, Robert F., "Surgical Technique for Resection Cavernous Malformations of the Brain Stem" (2000). Neurosurgery. 419.