Total Removal of Cavernous Hemangioma Using the Tonsillouveal Transaqueductal Approach (Method)

  • Ruben Dammers
  • Ernst J. Delwel
  • Ali F. Krisht
Part of the Tumors of the Central Nervous System book series (TCNS, volume 9)


Recent advances in microsurgical techniques facilitate surgical resection of brainstem lesions that were previously considered inoperable. Cavernous hemangiomas with repeated hemorrhage that reach the pial surface or display progressive neurological deficits can be resected safely with acceptable morbidity. Various approaches to the mesencephalon or midbrain, tailored to the exact location of the lesion, have been described. In this chapter we describe a novel approach to the mesencephalic tegmentum via the aqueduct, adding to contemporary microneurosurgery, respecting functional anatomy and minimizing neurological deficits.


Posterior Inferior Cerebellar Artery Cavernous Hemangioma Cavernous Malformation Pial Surface Cerebral Cavernous Malformation 
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Copyright information

© Springer Science+Business Media Dordrecht 2012

Authors and Affiliations

  • Ruben Dammers
    • 1
  • Ernst J. Delwel
    • 1
  • Ali F. Krisht
    • 2
  1. 1.Department of NeurosurgeryErasmus Medical CenterRotterdamThe Netherlands
  2. 2.St. Vincent Infirmary Medical CenterLittle RockUSA

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