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Preoperative evaluation of neural tracts by use of three-dimensional anisotropy contrast imaging in a patient with brainstem cavernous angioma: technical case report.

Publication ,  Journal Article
Kashimura, H; Inoue, T; Ogasawara, K; Ogawa, A
Published in: Neurosurgery
May 2003

OBJECTIVE AND IMPORTANCE: We describe a case of brainstem cavernous angioma in which the neural tracts were evaluated before surgery by three-dimensional anisotropy contrast (3-DAC) magnetic resonance imaging. CLINICAL PRESENTATION: A 64-year-old man presented with a cavernous angioma located intrinsically in the brainstem and manifesting as gait ataxia. 3-DAC imaging demonstrated that the lesion was located outside the left inferior cerebellar peduncle and inside the middle cerebellar peduncle. INTERVENTION: The intact brain surface was incised, and the lesion was removed successfully on the basis of the preoperative 3-DAC images. The patient exhibited temporary exacerbation of his gait ataxia, but the symptom improved 3 months after surgery. Postoperative 3-DAC imaging demonstrated resection of the lesion and preservation of the left inferior and middle cerebellar peduncles. CONCLUSION: 3-DAC imaging may provide essential information about the neural tracts for the planning of brainstem surgery.

Duke Scholars

Published In

Neurosurgery

ISSN

0148-396X

Publication Date

May 2003

Volume

52

Issue

5

Start / End Page

1226 / 1229

Location

United States

Related Subject Headings

  • Preoperative Care
  • Neurology & Neurosurgery
  • Neural Pathways
  • Middle Aged
  • Male
  • Magnetic Resonance Imaging
  • Imaging, Three-Dimensional
  • Humans
  • Hemangioma, Cavernous, Central Nervous System
  • Contrast Media
 
Journal cover image

Published In

Neurosurgery

ISSN

0148-396X

Publication Date

May 2003

Volume

52

Issue

5

Start / End Page

1226 / 1229

Location

United States

Related Subject Headings

  • Preoperative Care
  • Neurology & Neurosurgery
  • Neural Pathways
  • Middle Aged
  • Male
  • Magnetic Resonance Imaging
  • Imaging, Three-Dimensional
  • Humans
  • Hemangioma, Cavernous, Central Nervous System
  • Contrast Media