38 Convexity and Parasagittal MeningiomasMichael Lim ♦ Preoperative Operative Planning Magnetic resonance imaging: with and without contrast images essential; recommend asking for acquisition of postcontrast images in all planes for…
56 Deep Stereotactic BiopsyMichael Lim and Gustavo Pradilla ♦ Two Approaches: Frameless and Frame-Based Some feel that the frame-based approach is more accurate. We recommend using a frame-based approach for…
33 Carotid EndarterectomyEli M. Baron, Darric E. Baty, and Christopher M. Loftus Indications For symptomatic patients, according to North American Symptomatic Carotid Endarterectomy Trial (NASCET)/European Carotid Surgery Trial criteria, carotid…
48 Optic Nerve GliomasAndrew F. Ducruet Indications The primary objective of transcranial orbital exploration for optic nerve glioma is resection of tumor with maintenance of the globe and with an…
47 Hypothalamic Region GliomasAndrew F. Ducruet Indications Therapeutic efforts are geared toward maintaining long-term survival and preserving vision. Primary glioma Involving chiasm and walls of the third ventricle Frontal lobe…
46 Brain Stem GliomasWilliam J. Mack Indications The classification of brain stem gliomas is useful in predicting tumor growth patterns and identifying surgically treatable lesions. Dorsal exophytic tumors Focal intrinsic…
45 Occipital GliomasOmar N. Syed and Ricardo J. Komotar Indications Primary glioma of the occipital lobe Primary glioma of the parietal-temporal region with posterior extension Recurrent glioma of the occipital…
44 Temporal GliomasDaniel L. Silbergeld and Arthur A. Ward Jr. Indications Temporal lobe gliomas Recurrent temporal lobe gliomas Insular and temporal stem gliomas with temporal lobe extension ♦ Preoperative Operative…
43 Frontal GliomasHasan Zaidi and Alfredo Quinones-Hinojosa ♦ Preoperative Operative Planning Perform extensive neurologic exam and document to compare for postoperative changes Computed tomography (CT) scan Without contrast: note density…
29 Subcortical Arteriovenous MalformationsJacques J. Morcos and Taro Kaibara Indications Consideration of natural history versus treatment morbidity Arteriovenous malformation (AVM) factors: size, location, angioarchitecture (feeding/draining vessels); AVM must present to…
