Supracerebellar transtentorial approach for left parahippocampal cavernous malformation.

ABSTRACT:

Background

Lesions in the temporomesial region can be reached by various approaches: subtemporal, transsylvian, transcortical, interhemispheric parieto-occipital, or supracerebellar transtentorial (SCTT). The choice varies according to the characteristics of the lesion and neighboring structures.

Case description

In this clinical case, it is presented a 56-year-old man with long-term evolution of drug-resistant epilepsy secondary to a cavernoma in the left parahippocampal gyrus. After assessing the lesion, it was decided a SCTT approach for its resection in a semi-sitting position, to avoid language disorders or visual damage. The surgery was uneventful and the patient did not present epileptic seizures during 6-month follow-up.

Conclusion

Performing a SCTT is safe an

SUBMITTER: Lopez Lopez LB 

PROVIDER: S-EPMC8168674 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature