Abstract

MICROSCOPIC TRANS-CEREBELLAR APPROACH FOR INFRATENTORIAL CAVERNOUS MALFORMATION NEAR THE LATERAL RECESS ASSOCIATED WITH DEVELOPMENTAL VENOUS ANOMALY: CASE REPORT

Salima B. Alsaadi*, Bahaa S. Abdalnaby, Samer S. Hoz, Saad Abdul Kareem Mohammed

ABSTRACT

Background: Reports show an intimate association with the developmental venous anomaly of infra-tentorial cavernous malformation. This association has several clinical and surgical implications; sometimes this association will be a surgical challenge and affect the selection of the safest approach to the lesion. Surgery for Infratentorial cavernoma is indicated for accessible symptomatic lesion only. Case Scenario: We present a case of deep cerebellopontine CM adjacent to the lateral recess, presented with acute clinical deterioration to the emergency department of the Neurosurgery Teaching Hospital in Baghdad, Iraq, with the only possible approach was trans-cerebellar approach because of the medial location of the associated DVA. Conclusion: The association of developmental venous anomaly with infratentorial cavernous malformation has a pivotal role in the selection of the most appropriate and safe a surgical approach which should be based upon the individualized patient anatomy and the location of the target lesion.

Keywords: cavernous malformation, developmental venous anomaly, trans- cerebellar approach.