This case presents a 37-year-old female patient diagnosed with a brain stem cavernoma. Within the ... read more ↘ video, Feigl, MD PhD, is performing a minimally invasive suboccipital approach with a mini-craniotomy to remove the cavernoma. Continuous neurophysiological monitoring as well as direct brain stem stimulation are employed. In addition, it is important that the patient is positioned in a semisitting position during the procedure. Postoperatively, after successful removal of the cavernoma, there have been no new focal neurological deficits. ↖ read less