Thalamomesencephalic cavernous malformations are located high in the brainstem and may be difficult to reach. We present a case of such a lesion which was successfully approached via the supracerebellar transtentorial route. Our enclosed video provides elements to justify this posterior approach and illustrates the steps required for the cavernoma's safe removal, which include opening of the tentorium and gentle retraction of the exposed temporal lobe. The video can be found here: https://youtu.be/Ex5OfLyBzPY.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541724 | PMC |
http://dx.doi.org/10.3171/2019.7.FocusVid.19164 | DOI Listing |
Neurosurg Rev
October 2024
Department of Neurosurgery, West China Hospital, No. 37, Guoxue Alley, Chengdu, Sichuan, 610041, China.
The purpose of this research was to summarize the clinical and prognostic features of pineal region meningiomas, evaluate treatment strategies and long-term prognoses, and improve the management of pineal region meningiomas. We retrospectively studied the data of 37 patients who received surgical resection for pineal region meningiomas at West China Hospital of Sichuan University from 2009 to 2021. Adjuvant gamma knife radiosurgery (GKRS) was conducted according to the extent of resection (EOR).
View Article and Find Full Text PDFClin Neurol Neurosurg
November 2024
Department of Neurosurgery, Osaka Metropolitan University, Graduate School of Medicine, Osaka, Japan.
Background And Objectives: Surgical resections for lesions associated with intractable temporal lobe epilepsy (TLE) offers good seizure outcomes.However, the necessity of hippocampectomy in addition to lesionectomy is controversial, especially when the hippocampus is not involved by the lesion. Lesionectomy alone, preserving the hippocampus by an appropriate surgical approach, might offer good seizure outcomes while maintaining neurocognitive function.
View Article and Find Full Text PDFClin Anat
August 2024
Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
The endoscopically assisted supracerebellar transtentorial (eSCTT) approach is advocated for managing pathologies of the medial temporo-occipital region, but quantitative analysis is currently lacking. The aims of this study were to establish a grid coordinate system on the tentorium to model the anatomical relationship between medial temporo-occipital region pathology and the slope of the tentorium, and then to compare the paramedian eSCTT and extreme-lateral eSCTT approaches quantitatively. Bilateral paramedian and extreme-lateral eSCTT approaches were used to dissect three adult cadaveric heads anatomically.
View Article and Find Full Text PDFWorld Neurosurg
November 2024
Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil; Neurosurgery, Hospital Beneficência Portuguesa de São Paulo, São Paulo, Brazil. Electronic address:
Midbrain cavernous malformations (MCMs) are rare and dangerous taken the important structures and tracts located in this segment of the brainstem. MCM treatment is still controversial, and surgical resection is basically indicated in cases of recurrent hemorrhage and progressive neurologic deterioration. The optimal moment to operate ruptured MCM is in the subacute stage.
View Article and Find Full Text PDFOper Neurosurg (Hagerstown)
October 2024
Department of Neurosurgery, Yeditepe University School of Medicine, Istanbul , Turkey.
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