For selected cases of cavernous malformations of the brainstem (CMBs), the extreme lateral variant may be associated with the opening of the tentorium (extreme lateral transtentorial approach), which provides a better exposure anteriorly, including the postero-medial surface of the temporal lobe. The resection shown here uses an extreme lateral variant of the Supracerebellar Infratentorial (SCIT) approach.
This information has been taken from Supracerebellar Infratentorial Approach to Cavernous Malformations of the Brainstem: Surgical Variants and Clinical Experience with 45 Patients, a manuscript that can be read here: [ Ссылка ] . It was submitted by corresponding author Robert F. Spetzler M.D. of the Neurosurgery Research Laboratory at the Barrow Neurological Institute in Phoenix, Arizona.
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