{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T22:58:47Z","timestamp":1781218727993,"version":"3.54.1"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Cavernous malformations (CMs) involving cranial nerves are exceedingly rare. To date, only six cases of trochlear nerve involvement have been published in the literature. We present the case of a microsurgical resection of a CM affecting the trochlear nerve.<\/jats:p>\n                  <jats:p>We report the clinical case of a 32-year-old patient who developed diplopia due to a CM affecting the trochlear nerve. Magnetic resonance imaging (MRI) showed a contrast lesion measuring 9\u2009\u00d7\u20095\u2009mm affecting the trochlear nerve. Microsurgical resection of the lesion via a subtemporal approach under continuous neuromonitoring was performed.<\/jats:p>\n                  <jats:p>The patient underwent successful microsurgical resection. Postoperatively, the patient's diplopia remained unchanged. No new neurological deficits were observed.<\/jats:p>\n                  <jats:p>This case demonstrates the feasibility and safety of microsurgical resection of a trochlear nerve CM. Given the rarity of this entity, individual case reports contribute valuable insight into diagnosis and surgical management.<\/jats:p>","DOI":"10.1055\/a-2844-9987","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T22:52:36Z","timestamp":1774911156000},"page":"301-304","source":"Crossref","is-referenced-by-count":0,"title":["Microsurgical Resection of a Cavernous Malformation of the Trochlear Nerve: A Case Report"],"prefix":"10.1055","volume":"87","author":[{"given":"Katharina","family":"Krause","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Charit\u00e9 - Universit\u00e4tsmedizin Berlin, Charit\u00e9platz, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Vajkoczy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Charit\u00e9 - Universit\u00e4tsmedizin Berlin, Charit\u00e9platz, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2982-2046","authenticated-orcid":false,"given":"Anton","family":"Fr\u00fch","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Charit\u00e9 - Universit\u00e4tsmedizin Berlin, Charit\u00e9platz, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/S1042-3680(18)30175-X","article-title":"The natural history of cavernous malformations","volume":"10","author":"J L Moriarity","year":"1999","journal-title":"Neurosurg Clin N Am"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1161\/CIRCRESAHA.121.318174","article-title":"Cerebral cavernous malformation: From mechanism to therapy","volume":"129","author":"D A Snellings","year":"2021","journal-title":"Circ Res"},{"issue":"12","key":"ref3","doi-asserted-by":"crossref","first-page":"108041","DOI":"10.1016\/j.jstrokecerebrovasdis.2024.108041","article-title":"Clinical features, hemorrhage risk and epilepsy outcomes of familial cerebral cavernous malformation: A 20-year observational pragmatic single-center study","volume":"33","author":"G DF Galv\u00e3o","year":"2024","journal-title":"J Stroke Cerebrovasc Dis"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1038\/nrneurol.2009.177","article-title":"Cavernous malformations: natural history, diagnosis and treatment","volume":"5","author":"S Batra","year":"2009","journal-title":"Nat Rev Neurol"},{"issue":"11","key":"ref5","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1056\/NEJMra2305116","article-title":"Cavernous malformations of the central nervous system","volume":"390","author":"E R Smith","year":"2024","journal-title":"N Engl J Med"},{"issue":"09","key":"ref6","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/j.clineuro.2007.06.005","article-title":"Cavernoma of the trochlear nerve","volume":"109","author":"O S\u00fcr\u00fcc\u00fc","year":"2007","journal-title":"Clin Neurol Neurosurg"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"E230","DOI":"10.1227\/NEU.0b013e31821cb28f","article-title":"Cavernous malformation of the trochlear nerve: case report and review of the literature on cranial nerve cavernomas","volume":"69","author":"S Manjila","year":"2011","journal-title":"Neurosurgery"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.clineuro.2014.07.020","article-title":"Cavernous haemangioma of the trochlear nerve: case report and review of the literature","volume":"125","author":"J Kraschl","year":"2014","journal-title":"Clin Neurol Neurosurg"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1227\/00006123-199202000-00019","article-title":"Cryptic angioma in the trochlear nerve. 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