Occipital transtentorial approach selected based on venous anatomy for a vermian cavernous malformation: illustrative case
Mizuto Sato, Akimitsu Shirokihara, Natsumi Ogawa, Takaki Ichikawa, Takahiro Miyata, Masashi Nakatsukasa, Joji Inamasu · 2026
Read Occipital transtentorial approach selected based on venous anatomy for a vermian cavernous malformation: illustrative case by Mizuto Sato, Akimitsu Shirokihara, Natsumi Ogawa, Takaki Ichikawa, Takahiro Miyata, Masashi Nakatsukasa, Joji Inamasu (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13201971.txt.
Description
Choosing the route to a deep brain lesion depends on the veins in the way, and a 2026 illustrative case led by Mizuto Sato shows that reasoning in action. The article describes a 69-year-old man with vertigo, nausea, and unsteady balance from bleeding of a cavernous malformation in the upper cerebellar vermis.
Scans over five days showed the blood collection growing, while vein imaging revealed an unusual drainage pattern with dominant occipital and marginal sinuses. The surgical team chose an occipital approach through the tentorium that avoided those veins and reached the lesion directly. Removal was complete, with no vein injury, stroke, or visual field loss afterward.
Catalog record
| CREATOR | Mizuto Sato, Akimitsu Shirokihara, Natsumi Ogawa, Takaki Ichikawa, Takahiro Miyata, Masashi Nakatsukasa, Joji Inamasu |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 13 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |