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Rethinking the standard trans-cortical approaches in the light of superficial white matter anatomy

A better comprehension of the superficial white matter organization is important in order to minimize potential and avoidable damage to long or intermediate association fibre bundles during every step of a surgical approach. We recently proposed a technique for cadaver specimen preparation, which se...

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Detalles Bibliográficos
Autores principales: Latini, Francesco, Ryttlefors, Mats
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730798/
https://www.ncbi.nlm.nih.gov/pubmed/26889162
http://dx.doi.org/10.4103/1673-5374.172308
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author Latini, Francesco
Ryttlefors, Mats
author_facet Latini, Francesco
Ryttlefors, Mats
author_sort Latini, Francesco
collection PubMed
description A better comprehension of the superficial white matter organization is important in order to minimize potential and avoidable damage to long or intermediate association fibre bundles during every step of a surgical approach. We recently proposed a technique for cadaver specimen preparation, which seems able to identify a more systematic organization of the superficial white matter terminations. Moreover, the use of the physiological intracranial vascular network for the fixation process allowed us to constantly show main vascular landmarks associated with white matter structures. Hence three examples of standard approaches to eloquent areas are herein reanalyzed starting from the first superficial layer. New insights into the possible surgical trajectories and subsequent quantitative damages of both vessels and white matter fibres can help readapt even the most standard and widely accepted approach trough the brain cortex. A more detailed study of these fine anatomical details may become in the near future a fundamental part of the neurosurgical training and the preoperative planning.
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spelling pubmed-47307982016-02-17 Rethinking the standard trans-cortical approaches in the light of superficial white matter anatomy Latini, Francesco Ryttlefors, Mats Neural Regen Res Invited Review A better comprehension of the superficial white matter organization is important in order to minimize potential and avoidable damage to long or intermediate association fibre bundles during every step of a surgical approach. We recently proposed a technique for cadaver specimen preparation, which seems able to identify a more systematic organization of the superficial white matter terminations. Moreover, the use of the physiological intracranial vascular network for the fixation process allowed us to constantly show main vascular landmarks associated with white matter structures. Hence three examples of standard approaches to eloquent areas are herein reanalyzed starting from the first superficial layer. New insights into the possible surgical trajectories and subsequent quantitative damages of both vessels and white matter fibres can help readapt even the most standard and widely accepted approach trough the brain cortex. A more detailed study of these fine anatomical details may become in the near future a fundamental part of the neurosurgical training and the preoperative planning. Medknow Publications & Media Pvt Ltd 2015-12 /pmc/articles/PMC4730798/ /pubmed/26889162 http://dx.doi.org/10.4103/1673-5374.172308 Text en Copyright: © Neural Regeneration Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Invited Review
Latini, Francesco
Ryttlefors, Mats
Rethinking the standard trans-cortical approaches in the light of superficial white matter anatomy
title Rethinking the standard trans-cortical approaches in the light of superficial white matter anatomy
title_full Rethinking the standard trans-cortical approaches in the light of superficial white matter anatomy
title_fullStr Rethinking the standard trans-cortical approaches in the light of superficial white matter anatomy
title_full_unstemmed Rethinking the standard trans-cortical approaches in the light of superficial white matter anatomy
title_short Rethinking the standard trans-cortical approaches in the light of superficial white matter anatomy
title_sort rethinking the standard trans-cortical approaches in the light of superficial white matter anatomy
topic Invited Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730798/
https://www.ncbi.nlm.nih.gov/pubmed/26889162
http://dx.doi.org/10.4103/1673-5374.172308
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