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Published in: Acta Neurochirurgica 9/2021

Open Access 01-09-2021 | Somatosensory Evoked Potential | How I Do it - Vascular Neurosurgery - Other

How I do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation

Authors: Michael Amoo, Kieron J. Sweeney, Ronan Kilbride, Mohsen Javadpour

Published in: Acta Neurochirurgica | Issue 9/2021

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Abstract

Background

The surgical management of deep brain lesions is challenging, with significant morbidity. Advances in surgical technology have presented the opportunity to tackle these lesions.

Methods

We performed a complete resection of a thalamic/internal capsule CM using a tubular retractor system via a parietal trans-sulcal para-fascicular (PTPF) approach without collateral injury to the nearby white matter tracts.

Conclusion

PTPF approach to lateral thalamic/internal capsule lesions can be safely performed without injury to eloquent white matter fibres. The paucity of major vessels along this trajectory and the preservation of lateral ventricle integrity make this approach a feasible alternative to traditional approaches.
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Literature
Metadata
Title
How I do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation
Authors
Michael Amoo
Kieron J. Sweeney
Ronan Kilbride
Mohsen Javadpour
Publication date
01-09-2021
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 9/2021
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-021-04884-2

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