Endoscopic endonasal transclival approach for the resection of a ventral pontine cavernous malformation: illustrative case

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Case report highlights EETA's effectiveness for ventral pontine cavernous malformations, emphasizing safe neurovascular approaches.

Gross-total removal of the ventral pontine cavernous malformation was achieved without neurological worsening.
The patient experienced recurrent hemorrhagic episodes prior to surgery, with all resolving postoperatively.
Accurate preoperative planning using diffusion tensor imaging was crucial to avoid damaging corticospinal tracts.
EETA offers a favorable option for lesions in the brainstem, though it is technically demanding and not universally applicable.

Cavallo et al. (2025) studied this question.

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