Transcondylar approach for resection of lateral medullary cavernous malformation.

Publication/Presentation Date

2-1-2018

Abstract

BACKGROUND: Resection of a medullary cavernous malformation requires aggressive exposure, but there is controversy on how much occipital condyle can be safely removed during the transcondylar approach.

METHOD: We describe and demonstrate the use of the transcondylar approach to a medullary cavernous malformation, with emphasis on adequate surgical exposure while preserving the atlanto-occipital joint.

CONCLUSIONS: Despite conservative handling of the occipital condyle, craniocervical stability may vary in patients after transcondylar surgery. A "dynamic" computer tomography, with views of the atlanto-occipital joint at each end-rotational extreme, may be the best postoperative assessment tool to evaluate the stability of the craniocervical junction.

Volume

160

Issue

2

First Page

291

Last Page

294

ISSN

0942-0940

Disciplines

Medicine and Health Sciences

PubMedID

29086026

Department(s)

Department of Surgery

Document Type

Article

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