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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Awake Craniotomy and Speech Mapping for Gliomas

May 16, 2019 by in NEUROSURGERY Comments Off on Awake Craniotomy and Speech Mapping for Gliomas

Indications • Intra-axial lesions invading, or located in, eloquent areas related to the language cortex, especially in the dominant hemisphere. The infiltrative rather displacing nature of gliomas makes this approach…

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