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Acta Neurochirurgica

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01-12-2024 | Meningioma | How I Do it

The trans-sylvian trans-petrosal “half & half” approach—a how I do it

Authors: Lucas Troude, Talal Al-Shabibi, Guillaume Baucher, Pierre-Hugues Roche

Published in: Acta Neurochirurgica | Issue 1/2024

Abstract

Background

Petroclival meningiomas are one of the most challenging tumors to be operated in the realm of neurosurgery. Many approaches have been developed over the years.

Method

The authors describe the Half & Half (H&H) approach whose main indication is petroclival meningiomas with suprasellar extension. The part of the tumor located above CN III and in the retrochiasmatic space is addressed through a trans-sylvian, while the petroclival portion is through an extradural anterior petrosectomy approach. The wide surgical corridor given by this approach allows extensive tumor resection while avoiding the risk associated with the manipulation of intracavernous neurovascular structures.

Conclusion

The H&H approach is an effective strategy to maximize the safe resection of petroclival meningiomas.

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Title: The trans-sylvian trans-petrosal “half & half” approach—a how I do it
Authors: Lucas Troude
Talal Al-Shabibi
Guillaume Baucher
Pierre-Hugues Roche
Publication date: 01-12-2024
Publisher: Springer Vienna
Keywords: Meningioma
Meningioma
Published in: Acta Neurochirurgica / Issue 1/2024
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-024-06056-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The trans-sylvian trans-petrosal “half & half” approach—a how I do it

Abstract

Background

Method

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Conclusion

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