{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:52:00Z","timestamp":1786125120274,"version":"build-2736575974"},"reference-count":1,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T00:00:00Z","timestamp":1559606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Cavernous malformations (cavernomas) of the brain stem with recurrent hemorrhage may be amenable to microsurgical resection if they are present close to the surface. The risks of surgery need to be balanced with the natural history of the lesion and the accumulation of neurological deficits and risk to life with multiple hemorrhages. In this 3D operative video, we illustrate the technique for the resection of a dorsally located midbrain cavernous malformation.<\/jats:p>\n                  <jats:p>\n                    Informed consent was obtained for this procedure. The cavernoma is accessed with the use of a supracerebellar infratentorial approach. The infratentorial craniotomy and coagulation of the superior vermian veins is shown. A description is provided of the use of hemosiderin staining and the intercollicular relative \u201csafe zone\u201d\n                    <jats:sup>1<\/jats:sup>\n                    as landmarks for the neurotomy. The technique of cavernoma dissection from the surrounding gliotic plane is shown and described.\n                  <\/jats:p>\n                  <jats:p>In this case, the patient required prolonged rehabilitation but fully recovered without residual deficit 1 yr following surgery.<\/jats:p>","DOI":"10.1093\/ons\/opz114","type":"journal-article","created":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T04:55:20Z","timestamp":1559624120000},"page":"E44-E44","source":"Crossref","is-referenced-by-count":2,"title":["Infratentorial Supracerebellar Approach for Resection of Midbrain Cavernous Malformation: 3-Dimensional Operative Video"],"prefix":"10.1227","volume":"18","author":[{"given":"Krunal","family":"Patel","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karol P","family":"Budohoski","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo Desessards","family":"Olijnyk","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Skull Base Surgery, Hospital Ernesto Donelles, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry","family":"Bulstrode","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Santarius","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramez W","family":"Kirollos","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rikin A","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,2]]},"reference":[{"issue":"5","key":"bib1-20231016","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.3171\/2015.4.JNS141945","article-title":"Microsurgical anatomy of safe entry zones to the brainstem","volume":"124","author":"Cavalcanti","year":"2016","journal-title":"J Neurosurg."}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/advance-article-pdf\/doi\/10.1093\/ons\/opz114\/28761361\/opz114.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opz114","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:50:33Z","timestamp":1786121433000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opz114"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,4]]},"references-count":1,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opz114","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,4]]}}}