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

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...

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Autores principales: Amoo, Michael, Sweeney, Kieron J., Kilbride, Ronan, Javadpour, Mohsen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2021
Materias:
How I Do it - Vascular Neurosurgery - Other
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357681/
https://www.ncbi.nlm.nih.gov/pubmed/34164736
http://dx.doi.org/10.1007/s00701-021-04884-2
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author Amoo, Michael
Sweeney, Kieron J.
Kilbride, Ronan
Javadpour, Mohsen
author_facet Amoo, Michael
Sweeney, Kieron J.
Kilbride, Ronan
Javadpour, Mohsen
author_sort Amoo, Michael
collection PubMed
description 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-021-04884-2.
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spelling pubmed-83576812021-08-30 How I do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation Amoo, Michael Sweeney, Kieron J. Kilbride, Ronan Javadpour, Mohsen Acta Neurochir (Wien) How I Do it - Vascular Neurosurgery - Other 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-021-04884-2. Springer Vienna 2021-06-24 2021 /pmc/articles/PMC8357681/ /pubmed/34164736 http://dx.doi.org/10.1007/s00701-021-04884-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle How I Do it - Vascular Neurosurgery - Other
Amoo, Michael
Sweeney, Kieron J.
Kilbride, Ronan
Javadpour, Mohsen
How I do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation
title How I do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation
title_full How I do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation
title_fullStr How I do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation
title_full_unstemmed How I do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation
title_short How I do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation
title_sort how i do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation
topic How I Do it - Vascular Neurosurgery - Other
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357681/
https://www.ncbi.nlm.nih.gov/pubmed/34164736
http://dx.doi.org/10.1007/s00701-021-04884-2
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