Dolenc Approach
7 Dolenc ApproachCharles J. Prestigiacomo Indications Most lesions of the cavernous sinus Originally described for direct approaches to cavernous aneurysms Primarily an extradural approach May be considered for paraclinoid lesions…
Orbitozygomatic Approach
6 Orbitozygomatic ApproachJames Frazier and Judy Huang Indications Lesions of lateral anterior cranial fossa or orbit Aneurysms of anterior communicating complex and basilar apex ♦ Preoperative Operative Planning Assess extent…
Pterional Approach
5 Pterional ApproachJudy Huang Indications Anterior circulation aneurysms except distal anterior cerebral artery aneurysms Basilar apex and superior cerebellar aneurysms (consider additional orbitozygomatic osteotomy) Suprasellar lesions Medial sphenoid wing tumors…
Frontal Approach
4 Frontal ApproachJudy Huang ♦ Intraoperative Positioning Mayfield skull pin sites are placed behind hairline For convexity lesions, flex or extend neck and turn head so that craniotomy flap is…
General Craniotomy Techniques
2 General Craniotomy TechniquesKhan Li ♦ Preoperative Operative Planning Review imaging studies If using frameless stereotaxy, perform necessary image reconstruction Equipment Mayfield head holder (Integra, Plainsboro, NJ): clamp or horseshoe;…
General Operating Room Considerations
ICranial 1 General Operating Room ConsiderationsAnthony Louis D’Ambrosio ♦ Preoperative Imaging Be certain that all required studies are at your disposal Carefully review all imaging studies for side and/or level…
Endoscopic Fundamentals
3 Endoscopic FundamentalsGeorge Jallo Indications Obstructive hydrocephalus Intraventricular tumors Cystic or fluidlike collections Shunt placement ♦ Preoperative Operative Planning Review imaging to confirm size of the ventricles and relation of…
