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Acta Neurochirurgica

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01-05-2020 | Intramedullary Cavernoma | How I Do it - : Vascular Neurosurgery - Other

How I do it: dorsolateral approach for ventrolateral intramedullary cavernoma

Authors: Corentin Dauleac, Isabelle Pelissou-Guyotat

Published in: Acta Neurochirurgica | Issue 5/2020

Abstract

Background

For small and lateral lesions, in order to avoid postoperative sequelae related to dorso-median myelotomy, we propose to describe the use of a ventrolateral approach for intramedullary lesions.

Method

Performing this approach entails that the denticulate ligament is cut from its dural attachment and retracted. Rotation of the spinal cord must be achieved with great caution and under electrophysiological monitoring. After pia mater incision, hydrodissection is useful to gently dissect the cavernoma and promote a cleavage plane.

Conclusion

In the case of lateral intramedullary lesions, using this approach maximized the absence of postoperative deficit.

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Title: How I do it: dorsolateral approach for ventrolateral intramedullary cavernoma
Authors: Corentin Dauleac
Isabelle Pelissou-Guyotat
Publication date: 01-05-2020
Publisher: Springer Vienna
Keyword: Intramedullary Cavernoma
Published in: Acta Neurochirurgica / Issue 5/2020
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-019-04188-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

How I do it: dorsolateral approach for ventrolateral intramedullary cavernoma

Abstract

Background

Method

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Method

Conclusion

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