Endoscopic transclival decompression for ventral brainstem tuberculous abscess: illustrative case

CNS tuberculomas typically respond to medical treatment and rarely necessitate surgical intervention. However, tuberculous abscesses represent a distinct clinical entity, particularly in the vicinity of the basal cisterns and the brainstem area. Urgent surgical treatment is essential to relieve brainstem compression, reduce inflammation, lower the risk of stroke, and enhance neurological recovery. The EETA provides a safe and effective strategy for both diagnostic biopsy and ventral brainstem decompression. https://thejns.org/doi/10.3171/CASE25613.