Indications • The transnasal transsphenoidal approach is employed for various pathologies involving the sella, suprasellar space, and sphenoid bone, including pituitary adenomas, Rathke pouch cyst, and craniopharyngiomas. Other indications include…
Indications • This approach provides excellent exposure for lesions of the pineal region, posterior third ventricle, and posterior mesencephalon. Contraindications • The angle of the tentorium is an important consideration;…
Indications • Tumors of the lateral and third ventricles Contraindications • This approach is contraindicated if the patient is medically unstable and would not tolerate surgery. • The transcallosal approach,…
Indications • Surgical approach for clipping aneurysms of the anterior and posterior circulation (upper basilar and its proximal branches) • Surgical approach for tumors of the anterior and middle cranial…
Indications • Most lesions in the posterior fossa • Developmental anomalies such as Chiari malformations • Brain tumors such as meningiomas, ependymomas, astrocytomas, and medulloblastomas • Vascular lesions such as…
Indications • Lesions in the cerebellopontine angle and petroclival region can be surgically challenging to resect because of surrounding vascular and eloquent neural structures (i.e., brainstem) that have zero tolerance…
Indications • This technique is preferred for lesions of the middle fossa (i.e., cavernous sinus, medial temporal lobe, tentorial region, petrous bone, incisura) and posterior fossa (i.e., extraaxial lesions in…
Indications • Treatment option in temporal lobe epilepsy for patients in whom anticonvulsant medications do not control epileptic seizures • Techniques for removing temporal lobe tissue, such as in anterior…
Indications • The occipital craniotomy is a versatile approach that provides access to the occipital lobes; tentorium; torcular Herophili; transverse sinus; sigmoid sinus; and tumors, vascular malformations, or other lesions…
