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Purely Endoscopic Subtemporal Transtentorial Approach for Biopsy of a Thalamo-Mesencephalic Glioblastoma: 2-Dimensional Operative Video.
Oper Neurosurg (Hagerstown)
November 2024
Department of Neurosurgery, Ibn Sina Hospital, Kuwait City, Kuwait.
[Neck Clipping via Subtemporal Approach].
No Shinkei Geka
September 2024
Department of Neurosurgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi.
The subtemporal approach offers the advantages of a wide surgical field in the anteroposterior direction and easy access to the proximal basilar artery. This approach can be adapted to treat low-positioned aneurysms using a tentorial incision, known as the subtemporal transtentorial approach. However, a disadvantage of the subtemporal approach is the risk of injury to the temporal lobe.
View Article and Find Full Text PDFLocation-based selection of the surgical approach to preserve the hippocampus in lesion-associated temporal lobe epilepsy.
Clin 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 PDFMidbrain Cavernous Malformation: Microsurgical Nuances and an Anatomoclinical Review 2-Dimensional Video.
World 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 PDF[Microanatomical Investigation of the Subtemporal Transtentorial Approach].
Sichuan Da Xue Xue Bao Yi Xue Ban
March 2024
（ 242000） Department of Neurosurgery, Xuancheng Central Hospital, Xuancheng 242000, China.
Objective: To study the microanatomic structure of the subtemporal transtentorial approach to the lateral side of the brainstem, and to provide anatomical information that will assist clinicians to perform surgeries on the lateral, circumferential, and petroclival regions of the brainstem.
Methods: Anatomical investigations were conducted on 8 cadaveric head specimens (16 sides) using the infratemporal transtentorial approach. The heads were tilted to one side, with the zygomatic arch at its highest point.
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