{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:59:29Z","timestamp":1782863969666,"version":"3.54.5"},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,7]]},"abstract":"Surgical resection of pontine cavernous malformation remains a particularly formidable challenge. We report the surgical outcome of eight cases with pontine cavernous malformations operated using the anterior transpetrosal approach. All cases presented with neurological deficits caused by hemorrhage before surgery. Gross-total removal was achieved in all cases without any postoperative complication such as worsening of facial nerve palsy, ocular movement disorder, or hemiplegia. A small incision of the pons with multidirectional dissection is the most important factor for minimizing postoperative neurological deficits, so resection of a pontine cavernous malformation via this approach can be an alternative better option.<\/jats:p>\n \n The video can be found here:\n https:\/\/youtu.be\/2Q2CUhBbo28<\/jats:ext-link>\n .\n <\/jats:p>","DOI":"10.3171\/2019.7.focusvid.19125","type":"journal-article","created":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T15:54:19Z","timestamp":1578326059000},"page":"V4","source":"Crossref","is-referenced-by-count":1,"title":["Usefulness of the anterior transpetrosal approach for pontine cavernous malformations"],"prefix":"10.3171","volume":"1","author":[{"given":"Hiroki","family":"Morisako","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeo","family":"Goto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian A.","family":"Bohoun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironori","family":"Arima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsutomu","family":"Ichinose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Ohata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"3","key":"b1","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E8","DOI":"10.3171\/2010.6.FOCUS10128","article-title":"Surgical approaches to brainstem cavernous malformations","volume":"29","author":"Abla AA","year":"2010","unstructured":"Abla AA, Turner JD, Mitha AP, : Surgical approaches to brainstem cavernous malformations. Neurosurg Focus 29(3):E8, 201010.3171\/2010.6.FOCUS1012820809766"},{"key":"b2","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s101430100179","article-title":"Cerebral cavernomas in the adult. Review of the literature and analysis of 72 surgically treated patients","volume":"25","author":"Bertalanffy H","year":"2002","unstructured":"Bertalanffy H, Benes L, Miyazawa T, : Cerebral cavernomas in the adult. Review of the literature and analysis of 72 surgically treated patients. Neurosurg Rev 25:1\u201353, 200210.1007\/s10143010017911954761"},{"key":"b3","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"1014","DOI":"10.1007\/BF01411553","article-title":"The anatomical aspects of a surgical approach through the floor of the fourth ventricle","volume":"139","author":"Bogucki J","year":"1997","unstructured":"Bogucki J, Gielecki J, Czernicki Z: The anatomical aspects of a surgical approach through the floor of the fourth ventricle. Acta Neurochir (Wien) 139:1014\u20131019, 199710.1007\/BF014115539442213"},{"key":"b4","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1359","DOI":"10.3171\/2015.4.JNS141945","article-title":"Microsurgical anatomy of safe entry zones to the brainstem","volume":"124","author":"Cavalcanti DD","year":"2016","unstructured":"Cavalcanti DD, Preul MC, Kalani MY, : Microsurgical anatomy of safe entry zones to the brainstem. J Neurosurg 124:1359\u20131376, 20162645211410.3171\/2015.4.JNS141945"},{"key":"b5","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1203","DOI":"10.1227\/01.NEU.0000159644.04757.45","article-title":"Brainstem cavernomas: long-term results of microsurgical resection in 52 patients","volume":"56","author":"Ferroli P","year":"2005","unstructured":"Ferroli P, Sinisi M, Franzini A, : Brainstem cavernomas: long-term results of microsurgical resection in 52 patients. Neurosurgery 56:1203\u20131214, 20051591893610.1227\/01.NEU.0000159644.04757.45"},{"key":"b6","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1016\/j.wneu.2010.06.049","article-title":"Microroll retractor for surgical resection of brainstem cavernomas","volume":"73","author":"Ichinose T","year":"2010","unstructured":"Ichinose T, Goto T, Morisako H, : Microroll retractor for surgical resection of brainstem cavernomas. World Neurosurg 73:520\u2013522, 201010.1016\/j.wneu.2010.06.04920920936"},{"key":"b7","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1007\/s10143-010-0256-7","article-title":"Surgical management of brainstem cavernomas: selection of approaches and microsurgical techniques","volume":"33","author":"Ohue S","year":"2010","unstructured":"Ohue S, Fukushima T, Kumon Y, : Surgical management of brainstem cavernomas: selection of approaches and microsurgical techniques. Neurosurg Rev 33:315\u2013324, 201010.1007\/s10143-010-0256-720358241"},{"key":"b8","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1227\/NEU.0b013e318283c9c2","article-title":"Cavernous malformation of brainstem, thalamus, and basal ganglia: a series of 176 patients","volume":"72","author":"Pandey P","year":"2013","unstructured":"Pandey P, Westbroek EM, Gooderham PA, : Cavernous malformation of brainstem, thalamus, and basal ganglia: a series of 176 patients. Neurosurgery 72:573\u2013589, 201310.1227\/NEU.0b013e318283c9c223262564"},{"key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"893","DOI":"10.3171\/jns.1997.87.6.0893","article-title":"Pericollicular surgical approaches to the rhomboid fossa. Part I. Anatomical basis","volume":"87","author":"Strauss C","year":"1997","unstructured":"Strauss C, L\u00fctjen-Drecoll E, Fahlbusch R: Pericollicular surgical approaches to the rhomboid fossa. Part I. Anatomical basis. J Neurosurg 87:893\u2013899, 199710.3171\/jns.1997.87.6.08939384401"},{"issue":"3","key":"b1","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E8","DOI":"10.3171\/2010.6.FOCUS10128","article-title":"Surgical approaches to brainstem cavernous malformations","volume":"29","author":"Abla AA","year":"2010","unstructured":"Abla AA, Turner JD, Mitha AP, : Surgical approaches to brainstem cavernous malformations. Neurosurg Focus 29(3):E8, 201010.3171\/2010.6.FOCUS1012820809766"},{"key":"b2","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s101430100179","article-title":"Cerebral cavernomas in the adult. Review of the literature and analysis of 72 surgically treated patients","volume":"25","author":"Bertalanffy H","year":"2002","unstructured":"Bertalanffy H, Benes L, Miyazawa T, : Cerebral cavernomas in the adult. Review of the literature and analysis of 72 surgically treated patients. Neurosurg Rev 25:1\u201353, 200210.1007\/s10143010017911954761"},{"key":"b3","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"1014","DOI":"10.1007\/BF01411553","article-title":"The anatomical aspects of a surgical approach through the floor of the fourth ventricle","volume":"139","author":"Bogucki J","year":"1997","unstructured":"Bogucki J, Gielecki J, Czernicki Z: The anatomical aspects of a surgical approach through the floor of the fourth ventricle. Acta Neurochir (Wien) 139:1014\u20131019, 199710.1007\/BF014115539442213"},{"key":"b4","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1359","DOI":"10.3171\/2015.4.JNS141945","article-title":"Microsurgical anatomy of safe entry zones to the brainstem","volume":"124","author":"Cavalcanti DD","year":"2016","unstructured":"Cavalcanti DD, Preul MC, Kalani MY, : Microsurgical anatomy of safe entry zones to the brainstem. J Neurosurg 124:1359\u20131376, 20162645211410.3171\/2015.4.JNS141945"},{"key":"b5","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1203","DOI":"10.1227\/01.NEU.0000159644.04757.45","article-title":"Brainstem cavernomas: long-term results of microsurgical resection in 52 patients","volume":"56","author":"Ferroli P","year":"2005","unstructured":"Ferroli P, Sinisi M, Franzini A, : Brainstem cavernomas: long-term results of microsurgical resection in 52 patients. Neurosurgery 56:1203\u20131214, 20051591893610.1227\/01.NEU.0000159644.04757.45"},{"key":"b6","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1016\/j.wneu.2010.06.049","article-title":"Microroll retractor for surgical resection of brainstem cavernomas","volume":"73","author":"Ichinose T","year":"2010","unstructured":"Ichinose T, Goto T, Morisako H, : Microroll retractor for surgical resection of brainstem cavernomas. World Neurosurg 73:520\u2013522, 201010.1016\/j.wneu.2010.06.04920920936"},{"key":"b7","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1007\/s10143-010-0256-7","article-title":"Surgical management of brainstem cavernomas: selection of approaches and microsurgical techniques","volume":"33","author":"Ohue S","year":"2010","unstructured":"Ohue S, Fukushima T, Kumon Y, : Surgical management of brainstem cavernomas: selection of approaches and microsurgical techniques. Neurosurg Rev 33:315\u2013324, 201010.1007\/s10143-010-0256-720358241"},{"key":"b8","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1227\/NEU.0b013e318283c9c2","article-title":"Cavernous malformation of brainstem, thalamus, and basal ganglia: a series of 176 patients","volume":"72","author":"Pandey P","year":"2013","unstructured":"Pandey P, Westbroek EM, Gooderham PA, : Cavernous malformation of brainstem, thalamus, and basal ganglia: a series of 176 patients. Neurosurgery 72:573\u2013589, 201310.1227\/NEU.0b013e318283c9c223262564"},{"key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"893","DOI":"10.3171\/jns.1997.87.6.0893","article-title":"Pericollicular surgical approaches to the rhomboid fossa. Part I. Anatomical basis","volume":"87","author":"Strauss C","year":"1997","unstructured":"Strauss C, L\u00fctjen-Drecoll E, Fahlbusch R: Pericollicular surgical approaches to the rhomboid fossa. Part I. Anatomical basis. J Neurosurg 87:893\u2013899, 199710.3171\/jns.1997.87.6.08939384401"}],"container-title":["Neurosurgical Focus: Video"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/1\/1\/article-pV4.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/1\/1\/article-pV4.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/1\/1\/article-pV4.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:16:46Z","timestamp":1782861406000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/1\/1\/article-pV4.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":18,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2019.7.focusvid.19125","relation":{},"ISSN":["2643-5217"],"issn-type":[{"value":"2643-5217","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}