Minimally Invasive Transsulcal Resection of Intraventricular and Periventricular Lesions Through a Tubular Retractor System: Multicentric Experience and Results

World Neurosurgery
Javed Khader EliyasJulian Bailes

Abstract

Conventional approaches to deep-seated cerebral lesions range from biopsy to transcortical or transcallosal resection. Although the former does not reduce tumor burden, the latter are more invasive and associated with greater potential for irreparable injury to normal brain. Disconnection syndrome, hemiparesis, hemianesthesia, or aphasia is not uncommon after such surgery, especially when lesion is large. By contrast, the transsulcal parafascicular approach uses naturally existing corridors and a tubular retractor to minimize brain injury. A retrospective review of patients undergoing minimally invasive transsulcal parafascicular resection of ventricular and periventricular lesions, across 5 independent centers, was conducted. Twenty patients with lesions located in the lateral ventricle (n = 9), the third ventricle (n = 6) and periventricular region (n = 4) are described in this report. Average age was 64 years (8 male/12 female). The average depth from cortical surface was 4.37 cm. A 13.5-mm-diameter tubular retractor (BrainPath [NICO Corporation, Indianapolis, Indiana, USA]) of differing lengths was used, aided by neuronavigation. Gross total resection was obtained in 17 patients. Pathologies included colloid cyst, subependy...Continue Reading

References

Oct 1, 1985·Journal of Neurosurgery·J Rosenørn, N Diemer
Nov 7, 2001·Minimally Invasive Neurosurgery : MIN·U KehlerH Arnold
Jun 16, 2004·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Tjemme Beems, J Andre Grotenhuis
Dec 14, 2006·Minimally Invasive Neurosurgery : MIN·N Mikuni, N Hashimoto
Jun 30, 2007·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Ron T GrondinMark G Hamilton
Aug 22, 2008·Neurosurgery·M Gazi Yaşargil, Saleem I Abdulrauf
Nov 15, 2008·Neurosurgery·Jeffrey P GreenfieldTheodore H Schwartz
Nov 13, 2008·Acta neurochirurgica·Alessandro Fiorindi, Pierluigi Longatti
May 4, 2010·Neurological Research·Manuel DujovnyTravis Ryder
Apr 22, 2011·Minimally Invasive Neurosurgery : MIN·S M RazaA Quinones-Hinojosa
May 3, 2011·Journal of Neurosurgery. Pediatrics·Pablo F RecinosViolette Renard Recinos
May 4, 2011·Brain Structure & Function·Igor Lima MaldonadoHugues Duffau
May 27, 2011·Neurosurgical Review·Kwang-Wook JoDoo-Sik Kong
Jul 23, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Kyung-Il JoHyung-Jin Shin
Feb 2, 2013·Journal of Neurological Surgery. Part B, Skull Base·Nancy McLaughlinAmin B Kassam
Nov 6, 2013·Minimally Invasive Surgery·Sean M BarberDavid Baskin
Aug 28, 2014·World Neurosurgery·David J Fusco, Robert F Spetzler
May 12, 2015·Human Brain Mapping·Silvio SarubboHugues Duffau

❮ Previous
Next ❯

Citations

Sep 30, 2017·Operative Neurosurgery·Alex M WitekMark D Bain
Sep 14, 2017·Neurosurgery·Simon S ButtrickRicardo J Komotar
Oct 14, 2017·Operative Neurosurgery·Kutluay UlucMustafa K Baskaya
May 10, 2020·Operative Neurosurgery·Alejandro Monroy-SosaAmin B Kassam
May 12, 2020·Operative Neurosurgery·Amin B KassamSrikant S Chakravarthi
Apr 16, 2020·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Junhao ZhuChiyuan Ma
Jan 18, 2018·Stereotactic and Functional Neurosurgery·Ashwin A KamathEric C Leuthardt
Sep 11, 2020·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Nirmeen ZagzoogKesava Reddy
Nov 3, 2016·Journal of Neuro-oncology·Robert C RennertBob S Carter
Jul 12, 2019·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Yosef EllenbogenKeseva K V Reddy
Jul 28, 2018·Operative Neurosurgery·Ali O JamshidiDaniel M Prevedello
Jan 8, 2021·Journal of Clinical Imaging Science·Dinesh RaoGazanfar Rahmathulla
Mar 11, 2021·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Martina PiloniPietro Mortini
Jun 14, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Anthony S LarsonAndrew W Grande
Nov 4, 2021·World Neurosurgery·Abdullah M AbunimerMichael Schulder

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.