Microscopic trans-cerebellar approach for infratentorial cavernous malformation near the lateral recess associated with developmental venous anomaly Case report

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Samer S. Hoz
Awfa A. Aktham
Hassan M. Bdaiwi
Alyaa A. Khadim
Zainab A. Jihan
Mohammed Maan AbdulAzeez

Abstract

Background: Reports showed the intimate association of the developmental venous anomaly with infra-tentorial cavernous malformation. This association has several clinical and surgical implications, sometimes this association will be a surgical challenge and affect the selection of the safest approach to the lesion. Surgery for infratentorial cavernoma is indicated for accessible symptomatic lesion only.


Case scenario: we present a case of deep cerebello-pontine CM adjacent to the lateral recess, presented with acute clinical deterioration to the emergency department of the Neurosurgery Teaching Hospital in Baghdad, Iraq, with the only possible approach was Trans-cerebellar approach because of the medial location of the associated DVA.


Conclusion: The association of developmental venous anomaly with infratentorial cavernous malformation has a pivotal role in selection the most appropriate and safe surgical approach which should be based upon the individualized patient anatomy and the location of the target lesion.

Article Details

How to Cite
Hoz, S., Aktham, A., Bdaiwi, H., Khadim, A., Jihan, Z., & AbdulAzeez, M. (2019). Microscopic trans-cerebellar approach for infratentorial cavernous malformation near the lateral recess associated with developmental venous anomaly. Romanian Neurosurgery, 33(4), 513-516. https://doi.org/10.33962/roneuro-2019-083
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Articles
Author Biographies

Samer S. Hoz

Neurosurgeon, FRCS Neurosurgery Glasgow, Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq

Awfa A. Aktham

Neurosurgery resident, Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq

Hassan M. Bdaiwi

Neurosurgeon, Department of Meurosurgery, Alramadi Teaching Hospital, Anbar, Iraq

Alyaa A. Khadim

Neurosurgery resident, Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq

Zainab A. Jihan

Neurosurgery resident, Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq

Mohammed Maan AbdulAzeez

Medical Student, University of Baghdad, College of Medicine, Baghdad, Iraq