Comparison of the transvermian and telovelar approaches to the fourth ventricle

Journal of Neurosurgery
Necmettin TanrioverAlexandre Yasuda

Abstract

The two most common surgical routes to the fourth ventricle are the transvermian and telovelar approaches. The purpose of this study was to compare the microanatomy and exposures gained through these approaches. Ten formalin-fixed specimens were dissected in a stepwise manner to simulate the transvermian and telovelar surgical approaches. Stealth image guidance was used to compare the exposures and working angles obtained using these approaches. The transvermian and telovelar approaches provided access to the entire rostrocaudal length of the fourth ventricle floor from the aqueduct to the obex. In addition, both approaches provided access to the entire width of the floor of the fourth ventricle. The major difference between the two approaches regarded the exposure of the lateral recess and the foramen of Luschka. The telovelar, but not the transvermian, approach exposed the lateral and superolateral recesses and the foramen of Luschka. The transvermian approach, which offered an incision through at least the lower third of the vermis, afforded a modest increase in the operator's working angle compared with the telovelar approach when accessing the rostral half of the fourth ventricle. The transvermian approach provides slightl...Continue Reading

References

Jan 1, 1990·Pediatric Neurosurgery·D D Dietze, J P Mickle
Jan 1, 1990·Acta neurochirurgica·S M Weil, J M Tew
Jul 1, 1983·Journal of Neurosurgery·T MatsushimaD Peace
Nov 1, 1995·Neurosurgery·F Van CalenberghP Casaer
May 4, 2000·Journal of Neurosurgery·A C Mussi, A L Rhoton
Sep 13, 2000·Neurosurgery·A L Rhoton
Mar 27, 2003·Neurosurgery·Walter C JeanHarry R van Loveren
Jan 1, 1953·The Anatomical Record·W A HILTON

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Citations

Apr 7, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·B J RajeshS Nair
Nov 10, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Thora GudrunardottirKjeld Schmiegelow
Jul 18, 2009·Neurosurgical Review·Masatou KawashimaKenji Ohata
Jul 30, 2010·Neurosurgical Review·Ali Afshar-OromiehDietmar Krex
Dec 16, 2011·Neurosurgical Review·Antonio Di IevaManfred Tschabitscher
May 27, 2011·Neurologia Medico-chirurgica·Hiroshi NakaguchiYasuo Ishida
Jan 2, 2010·Journal of Neurosurgery. Pediatrics·Manish N ShahArie Perry
Sep 2, 2008·Journal of Neurosurgery·Pierluigi LongattiAndrea Martinuzzi
Mar 29, 2014·Surgical Neurology International·Rui Liu, Ekkehard M Kasper
Jun 28, 2014·Journal of Neurosurgery·Vivek R DeshmukhRobert F Spetzler
Mar 20, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Asem SalmaMario Ammirati
Mar 26, 2013·Seminars in Ultrasound, CT, and MR·Arantxa RoyoFernando Carceller
Feb 5, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Joanne ZhangCory Adamson
Aug 15, 2015·Journal of Neurosurgery·Ken MatsushimaAlbert L Rhoton
May 22, 2007·Surgical Neurology·Reza DashtiJuha E Jääskeläinen
Sep 10, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Antonio Cesar de Melo MussiAlbert L Rhoton
Feb 24, 2015·World Neurosurgery·Francesco TomaselloFilippo Flavio Angileri
Jan 3, 2012·Clinical Neurology and Neurosurgery·Cheng-Chia LeeYang-Hsin Shih
Feb 6, 2015·Acta neurochirurgica·Francesco TomaselloSalvatore Cardali
May 5, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Thora GudrunardottirUNKNOWN Iceland Delphi Group
Oct 30, 2016·Journal of Neurosurgery·Ali Tayebi MeybodiArnau Benet
Apr 15, 2017·Journal of Neurosurgery·Sherise D FergusonIan E McCutcheon
Jan 10, 2008·Expert Review of Anticancer Therapy·Gregory G HeuerPhillip B Storm
Oct 2, 2007·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·C SaylamM Zileli
Jan 15, 2008·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·H UcerlerM Zileli
Sep 8, 2017·Neurosurgical Review·Toshio MatsushimaShigeaki Kobayashi
Jul 28, 2017·The Journal of Craniofacial Surgery·Lin YangJun Dong
Dec 7, 2019·Neurosurgical Review·Michael G Z Ghali
Apr 17, 2018·Neurosurgery·Prayash PatelPaul Klimo

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