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Published in: Acta Neurochirurgica 10/2017

01-10-2017 | Case Report - Neurosurgical Anatomy

The missing falx: a potential surgical pitfall during interhemispheric transcallosal approach

Authors: Sunil Kumar Gupta, Ashish Aggarwal

Published in: Acta Neurochirurgica | Issue 10/2017

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Abstract

One of the standard surgical approaches to lateral ventricular tumors involves interhemispheric dissection along the falx cerebri. The falx cerebri thus provides an important landmark in guiding the surgeon to the midline. Unrecognized absence of falx may lead to surgical complications. A child with tuberous sclerosis presented with refractory epilepsy and a lateral ventricular tumor. The tumor was excised by an interhemispheric trans-callosal approach. The midline falx cerebri was absent anteriorly, rendering the identification of midline difficult. The embryology of a deficient falx and its surgical implications are discussed in this short report.
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Metadata
Title
The missing falx: a potential surgical pitfall during interhemispheric transcallosal approach
Authors
Sunil Kumar Gupta
Ashish Aggarwal
Publication date
01-10-2017
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 10/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3292-z

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