Lateral inferior cerebellar peduncle approach [Neurosurgery Wiki]

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=====Lateral inferior cerebellar peduncle approach=====
{{ ::lateral_inferior_cerebellar_peduncle_approach.jpg?200|}}
4 [[patient]]s (3 [[woman]] and 1 [[man]]) who had a [[symptomatic]] dorsolateral [[brainstem cavernous malformation]] with radiographic and clinical evidence of [[hemorrhage]], underwent excision via a [[far lateral suboccipital craniotomy]] through the [[foramen of Luschka]] and with an incision in the [[cerebellar peduncle]]. 

On intraoperative examination, 2 of the 4 patients had hemosiderin staining on the surface of the [[peduncle]]. All lesions were completely excised and all patients had a good or excellent outcome ([[modified Rankin Scale]] scores of 0 or 1). 

Case series of Deshmuk et al., illustrates that [[intrinsic lesion]]s of the dorsolateral [[medulla]] can be safely removed laterally through the foramen of Luschka and the [[inferior cerebellar peduncle]]
((Deshmukh VR, Rangel-Castilla L, Spetzler RF. Lateral inferior cerebellar
peduncle approach to dorsolateral medullary cavernous malformation. J Neurosurg. 
2014 Sep;121(3):723-9. doi: 10.3171/2014.5.JNS132276. Epub 2014 Jun 27. PubMed
PMID: 24972129.)).