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Matteo Zoli, Giacomo Sollini, Sofia Asioli, Clarissa Ann Elisabeth Gelmi, Angelo Gianluca Corradini, Ernesto Pasquini and Diego Mazzatenta

We present the case of a 47-year-old man with left exophthalmus. MRI showed a left intraorbital intraconal cavernous malformation, located in the superoesternal quadrant and medially displacing the optic nerve. An endoscopic transpalpebral approach was performed and total removal was achieved after dissection of the lesion from the optic nerve and other orbital structures. Pathology confirmed the diagnosis of cavernous malformation. The patient was discharged neurologically intact on the second postoperative day free of complications. Follow-up MRI demonstrated radical resection of the cavernoma and resolution of the exophthalmus with an excellent esthetic result.

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Matteo Zoli, Giacomo Sollini, Laura Milanese, Emanuele La Corte, Arianna Rustici, Federica Guaraldi, Sofia Asioli, Luigi Cirillo, Ernesto Pasquini and Diego Mazzatenta

development of innovative surgical approaches, and the introduction of new operative devices. In the last decade, several papers have reanalyzed the spatial relationships among the orbital content according to different perspectives, proposing innovative surgical approaches such as the endoscopic endonasal approach (EEA) and endoscopic transpalpebral approach (ETP) routes. 2 , 5 , 9 , 13–15 Thanks to the versatility, maneuverability, and panoramic view provided by the endoscope, the ethmoidal corridor may be extended toward the orbit, adopting a completely extracranial

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CC BY license ( http://creativecommons.org/licenses/by/4.0/ ). Subtemporal approach for the resection of a midbrain cavernous malformation: evaluation of safe surgical corridors Thalia Estefania Sanchez Correa MD David Gallardo Ceja MD Diego Mendez-Rosito MD 07 2019 1 1 V1 2019.7.FocusVid.19135 10.3171/2019.7.FocusVid.19135 This is an open access article distributed under the CC BY license ( http://creativecommons.org/licenses/by/4.0/ ). Endoscopic transpalpebral approach for resection of an intraorbital intraconal cavernous angioma Matteo Zoli 1 2 MD, PhD Giacomo