Endoscopic endonasal transclival approach for the resection of a ventral pontine cavernous malformation: illustrative case
This case supports the use of EETA as a safe and effective surgical route for ventral pontine CMs with anterior surface presentation. Accurate preoperative planning, including assessment of CST displacement via diffusion tensor imaging, and direct intraoperative cortical stimualtion are essential for identifying a safe entry point. Although technically demanding and not universally applicable, EETA offers a direct surgical corridor that minimizes neurovascular manipulation and facilitates favorable outcomes in selected cases. https://thejns.org/doi/10.3171/CASE25356.
Authors
- Luigi Maria Cavallo (ORCID: https://orcid.org/0000-0003-4576-5667)
- Ilaria Bove (ORCID: https://orcid.org/0000-0003-3909-7420)
- Teresa Somma (ORCID: https://orcid.org/0000-0001-7864-1607)
- Jacopo Berardinelli (ORCID: https://orcid.org/0000-0002-3920-2588)
- Felice Esposito (ORCID: https://orcid.org/0000-0003-1051-5924)
- Mario Cirillo (ORCID: https://orcid.org/0000-0001-5350-7700)
Institutions
- University of Campania "Luigi Vanvitelli" (IT)
- Federico II University Hospital (IT)
- University of Naples Federico II (IT)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2025-09-01
- DOI
- https://doi.org/10.3171/case25356
- Primary Topic
- Vascular Malformations Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00