Paramedian Supracerebellar Infratentorial Approach for Pontine Cavernoma: 2-Dimensional Operative Video

Nickalus R. Khan, Jacques J. Morcos

Research output: Contribution to journalArticlepeer-review


We describe the case of a 26-yr-old male who presented with headaches, dizziness, and left hemi-hypoesthesia in addition to being COVID-19 positive. The patient was found to have a large hemorrhage in the right dorsolateral pons that was found to be due to a pontine cavernous malformation. The patient underwent a right-sided paramedian supracerebellar infratentorial approach for resection of this lesion with preservation of the developmental venous anomaly. We present the operative video with a specific focus on approach selection, anatomic illustrations, and technical nuances. The literature on the timing of brainstem cavernoma surgery is reviewed.1-4 The patient's postoperative clinical course and postoperative imaging are reviewed. The patient gave informed consent for the procedure and verbal consent for being part of this submission and the publication of their image.

Original languageEnglish (US)
Pages (from-to)E449
JournalOperative neurosurgery (Hagerstown, Md.)
Issue number5
StatePublished - Oct 13 2021


  • Brainstem
  • Cavernoma
  • Hemorrhage
  • Pons
  • Supracerebellar infratentorial

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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