Top

Acta Neurochirurgica

Published in:

01-01-2018 | How I Do it - Neurosurgical Techniques

The endoscope-assisted contralateral paramedian approach to large falcine meningiomas

Authors: Florian Roser, Luigi Rigante

Published in: Acta Neurochirurgica | Issue 1/2018

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.

Available only for authorised users

Barajas RF Jr, Sughrue ME, McDermott MW (2010) Large falcine meningioma fed by callosomarginal branch successfully removed following contralateral interhemispheric approach. J Neurooncol 97(1):127–131CrossRefPubMed

Bohnstedt BN, Kulwin CG, Shah MV, Cohen-Gadol AA (2015) Posterior interhemispheric transfalcine transprecuneus approach for microsurgical resection of periatrial lesions: indications, technique, and outcomes. J Neurosurg 123(4):1045–1054. https://doi.org/10.3171/2015.3.JNS14847. CrossRefPubMed

Ferroli P, Russo A, Albanese E, Tringali G, Broggi G (2007) Gravity-aided trans-falcine removal of a contralateral subcortical ependymoma. Acta Neurochir 149(11):1147–1150 discussion 1150CrossRefPubMed

Goel A (1995) Transfalcine approach to a contralateral hemispheric tumor. Acta Neurochir 135(3–4):210–212CrossRefPubMed

Malekpour M, Cohen-Gadol AA (2015) Interhemispheric transfalcine approach and awake cortical mapping for resection of peri-atrial gliomas associated with the central lobule. J Clin Neurosci 22(2):383–386. https://doi.org/10.1016/j.jocn.2014.07.017 CrossRefPubMed

Mukherjee S, Minhas PS (2014) Contralateral approach to resection of a parafalcine meningioma. A technical note. Br J Neurosurg 28(5):699–700CrossRefPubMed

Roser F, Honegger J, Schuhmann MU, Tatagiba MS (2012) Meningiomas, nerve sheath tumors, and pituitary tumors: diagnosis and treatment. Hematol Oncol Clin North Am 26(4):855–879CrossRefPubMed

Sun C, Xie T, Zhang X, Zhu W, Gu Y, Wang H (2014) To repeat or to recreate: a contralateral posterior interhemispheric transfalcine transprecuneus approach for recurrent meningiomas at the trigone of the lateral ventricle. J Clin Neurosci 21(11):1968–1972. https://doi.org/10.1016/j.jocn.2014.03.030 CrossRefPubMed

Zuo FX, Wan JH, Li XJ, Qian HP, Meng XL (2012) A proposed scheme for the classification and surgical planning of falcine meningioma treatment. Clin Neurosci 19(12):1679–1683CrossRef

Title: The endoscope-assisted contralateral paramedian approach to large falcine meningiomas
Authors: Florian Roser
Luigi Rigante
Publication date: 01-01-2018
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 1/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-017-3382-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The endoscope-assisted contralateral paramedian approach to large falcine meningiomas

Abstract

Background

Method

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2018

BioGlue® induced granuloma causing symptomatic spinal cord compression: a late complication

Medical complications and mortality in octogenarians undergoing elective spinal fusion surgeries

Thoracic epidural haematoma due to a subclavian steal syndrome and secondary formed thoracic collateral circuits, coincidence or consequence: a case report

Chiari I malformation: surgical technique, indications and limits

Letter to the editor of Acta Neurochirurgica: simultaneous pericranial and nasoseptal “double-flap” reconstruction after combined transcranial and endoscopic endonasal resection of anterior skull base tumors

An introduction and overview of machine learning in neurosurgical care