Surgical management of pontine cavernous malformations: A focused review with case illustrations

• 발행기관: 대한두개저학회
• 저자명: 이원재(Won-Jae Lee) 정규하(Kyuha Chong) 최정원(Jung-Won Choi) 공두식(Doo-Sik Kong) 남도현(Do-Hyun Nam) 이정일(Jung-Il Lee) 설호준(Ho Jun Seol)
• 간행물 정보: 『대한두개저학회지』제20권 제2호, 49~60쪽, 전체 12쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2025.10.30

국문 초록

Pontine cavernous malformations (CMs) represent one of the most surgically challenging forms of cerebral CMs due to their deep-seated location and proximity to critical neural structures. While observation may be appropriate in selected asymptomatic cases, recurrent hemorrhage or progressive neurological deterioration often requires surgical intervention. This review focuses on the microsurgical management of pontine CMs with emphasis on safe entry zones and approach selection. Two illustrative cases are presented to highlight decision-making and technical nuances: the first was approached via a subtemporal transtentorial route targeting the supratrigeminal zone, and the second via an anterior petrosal approach to the peritrigeminal zone. Gross total resection was achieved in both cases with favorable neurological outcomes. A comprehensive review of the literature is provided to contextualize indications, approach strategies, and postoperative outcomes. This focused review aims to support skull base surgeons in making informed decisions for these high-risk lesions.

목차

INTRODUCTION

METHODS

RESULTS

ILLUSTRATIVE CASES

DISCUSSION

CONCLUSION

CONFLICT OF INTEREST

ORCID

REFERENCES

키워드

Cerebral cavernous malformation Pons Brain stem Skull base Microsurgery