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

Hiroshi Kashimura; Takashi Inoue; Kuniaki Ogasawara; Akira Ogawa; Chi Shing Zee; James M. Provenzale; Allan H. Friedman; Jun Yoshida; Michael DiLuna; Murat Gunel

doi:10.1227/01.neu.0000058025.94734.a3

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

Hiroshi Kashimura, Takashi Inoue, Kuniaki Ogasawara, Akira Ogawa, Chi Shing Zee, James M. Provenzale, Allan H. Friedman, Jun Yoshida, Michael DiLuna, Murat Gunel

Research output: Contribution to journal › Article › peer-review

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Abstract

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.

Original language	English
Pages (from-to)	1226-1230
Number of pages	5
Journal	Neurosurgery
Volume	52
Issue number	5
DOIs	https://doi.org/10.1227/01.neu.0000058025.94734.a3
State	Published - 1 May 2003

Keywords

Brainstem
Cavernous angioma
Neural tract
Three-dimensional anisotropy contrast

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Kashimura, H., Inoue, T., Ogasawara, K., Ogawa, A., Zee, C. S., Provenzale, J. M., Friedman, A. H., Yoshida, J., DiLuna, M., & Gunel, M. (2003). Preoperative evaluation of neural tracts by use of three-dimensional anisotropy contrast imaging in a patient with brainstem cavernous angioma: Technical case report. Neurosurgery, 52(5), 1226-1230. https://doi.org/10.1227/01.neu.0000058025.94734.a3

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title = "Preoperative evaluation of neural tracts by use of three-dimensional anisotropy contrast imaging in a patient with brainstem cavernous angioma: Technical case report",

abstract = "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.",

keywords = "Brainstem, Cavernous angioma, Neural tract, Three-dimensional anisotropy contrast",

author = "Hiroshi Kashimura and Takashi Inoue and Kuniaki Ogasawara and Akira Ogawa and Zee, {Chi Shing} and Provenzale, {James M.} and Friedman, {Allan H.} and Jun Yoshida and Michael DiLuna and Murat Gunel",

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Kashimura, H, Inoue, T, Ogasawara, K, Ogawa, A, Zee, CS, Provenzale, JM, Friedman, AH, Yoshida, J, DiLuna, M & Gunel, M 2003, 'Preoperative evaluation of neural tracts by use of three-dimensional anisotropy contrast imaging in a patient with brainstem cavernous angioma: Technical case report', Neurosurgery, vol. 52, no. 5, pp. 1226-1230. https://doi.org/10.1227/01.neu.0000058025.94734.a3

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T1 - Preoperative evaluation of neural tracts by use of three-dimensional anisotropy contrast imaging in a patient with brainstem cavernous angioma

T2 - Technical case report

AU - Kashimura, Hiroshi

AU - Inoue, Takashi

AU - Ogasawara, Kuniaki

AU - Ogawa, Akira

AU - Zee, Chi Shing

AU - Provenzale, James M.

AU - Friedman, Allan H.

AU - Yoshida, Jun

AU - DiLuna, Michael

AU - Gunel, Murat

PY - 2003/5/1

Y1 - 2003/5/1

N2 - 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.

AB - 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.

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ER -

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

Abstract

Keywords

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