Falcine and Falcotentorial Meningiomas

May 16, 2019 by in NEUROSURGERY Comments Off on Falcine and Falcotentorial Meningiomas

Indications and Preoperative Considerations • Falcine meningiomas are extradural lesions that arise from the falx cerebri. They might be classified based on their relationship with the superior sagittal sinus (SSS)…

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Convexity and Parasagittal Meningiomas

May 16, 2019 by in NEUROSURGERY Comments Off on Convexity and Parasagittal Meningiomas

Indications and Preoperative Considerations • Meningiomas are one of the most common primary intracranial brain tumors. They represent 34% of all primary brain tumors and originate from the arachnoid cells…

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Cervicomedullary Tumors

May 16, 2019 by in NEUROSURGERY Comments Off on Cervicomedullary Tumors

Indications • In general, most focal cervicomedullary tumors are considered benign in pathology. Common tumors of the cervicomedullary region include low-grade astrocytomas, gangliogliomas and ependymomas. They are typically well-delineated and…

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Supracerebellar Infratentorial Approach

May 16, 2019 by in NEUROSURGERY Comments Off on Supracerebellar Infratentorial Approach

Indications • This approach is well suited for midline tumors in the pineal region: germinoma, teratoma, pineocytoma, pineoblastoma, astrocytoma, metastasis, ependymoma, epidermoid tumor, cavernoma ( Figure 8.1 ). Figure 8.1…

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Cortical/Subcortical Motor Mapping for Gliomas

May 16, 2019 by in NEUROSURGERY Comments Off on Cortical/Subcortical Motor Mapping for Gliomas

Indications • Intra-axial lesions are located in close proximity to the motor cortex (rolandic and perirolandic regions including the supplementary motor area). The infiltrative rather displacing nature of gliomas makes…

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Cerebellar Tumors

May 16, 2019 by in NEUROSURGERY Comments Off on Cerebellar Tumors

Indications The suboccipital craniotomy is used for most lesions in the posterior fossa. Its indications are: • Brain tumors such as meningiomas, ependymomas, gliomas, medulloblastomas, acoustic neuromas and metastatic lesions….

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Deep Intra-Axial Tumors

May 16, 2019 by in NEUROSURGERY Comments Off on Deep Intra-Axial Tumors

Indications and Preoperative Considerations • Selective deep-seated intra-axial tumors can be surgically resected with the use of a tubular retractor system that creates a controlled surgical corridor with minimal brain…

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Brainstem Tumors

May 16, 2019 by in NEUROSURGERY Comments Off on Brainstem Tumors

Indications • In general, surgical resection is preferred for accessible, symptomatic lesions with a focal growth pattern, while stereotactic biopsy is typically reserved for tumors with a diffuse growth pattern….

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