Stimulation Mapping Guided Endoscopic Endonasal Transclival Resection of Pontine Cavernoma

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Won Kim, Yashaar Hafizka, Maya Harary, Anthony Wang
DOI: 10.1055/s-0046-1818975
Cited by: 0

Abstract

We demonstrate endoscopic endonasal transclival resection of a ventral pontine cavernous malformation in a patient with progressive brainstem deficits, including internuclear ophthalmoplegia and tetraparesis. The video highlights the critical use of intraoperative subcortical stimulation to navigate distorted corticospinal tracts and define a safe myelotomy zone. Complete resection of the cavernous malformation and resolution of ophthalmoplegia were achieved, underscoring the utility of this approach and feasibility of functional mapping via the endonasal corridor. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Fields of Study & Subjects

Head and Neck Surgical Oncology Vascular Malformations Diagnosis and Treatment Neurosurgical Procedures and Complications

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN