The endoscope-assisted contralateral paramedian approach to large falcine meningiomas.
Acta Neurochir (Wien) 2018;
160:79-82. [PMID:
29127654 DOI:
10.1007/s00701-017-3382-y]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2017] [Accepted: 10/29/2017] [Indexed: 10/18/2022]
Abstract
BACKGROUND
Resection of large falcine meningiomas can be challenging as overlaying cortical brain is endangered during the surgical approach.
METHOD
We describe the endoscope-assisted contralateral paramedian approach to large left-falcine meningiomas to avoid retraction of the ipsilateral thin layer of eloquent brain cortex.
CONCLUSIONS
The contralateral paramedian approach enables complete tumor resection with endoscopic-assisted removal of tumor remnants in the superior aspect of the resection cavity, sparing any manipulation of ipsilateral brain tissue.
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