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| Name | The pretemporal approach to anterolateral midbrain cavernous malformations |
| Video Uploader | Video From American Association of Neurological Surgeons |
| Upload Date | This Video Uploaded At 21-05-2020 19:38:17 |
| Video Discription | Daniel D. Cavalcanti, MD, PhD,1 Vance Fredrickson, MD,2 and Paulo Niemeyer Filho, MD, PhD3 1Department of Interventional Neuroradiology, NYU Langone Medical Center, New York, New York; 2Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California; and 3Department of Neurosurgery, Paulo Niemeyer State Brain Institute, Rio de Janeiro, Rio de Janeiro, Brazil Operating on the anterolateral midbrain is challenging due to limited surgical freedom provided by classic approaches and restraints imposed by the basilar artery apex and branches, their perforators, and the oculomotor nerve (Abla et al., 2011; Bricolo and Turazzi, 1995; Cavalcanti et al., 2016). This video demonstrates the benefits provided by the pretemporal approach for resection of an anterolateral mesencephalic cavernous malformation (Chaddad-Neto et al., 2014; de Oliveira et al., 1995). Four steps are well demonstrated in the video: 1) section of temporal pole veins to the sphenoparietal sinus; 2) division of arachnoid attaching the oculomotor nerve to the tentorial edge and uncus; 3) releasing the arachnoid between the anterior choroidal artery and uncus; and 4) following the oculomotor nerve to its origin. **Intro music: "Daybreak" by Graeme Rosner |
| Category | Science & Technology |
| Tags | iMovie | brainstem | cavernous malformation | microsurgery | pretemporal approach | Journal of Neurosurgery | Neurosurgical Focus | AANS |
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