Erschienen in:
10.11.2017 | How I Do it - Neurosurgical Techniques
The endoscope-assisted contralateral paramedian approach to large falcine meningiomas
verfasst von:
Florian Roser, Luigi Rigante
Erschienen in:
Acta Neurochirurgica
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Ausgabe 1/2018
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Abstract
Background
Resection of large falcine meningiomas can be challenging as overlaying cortical brain is endangered during the surgical approach.
Method
We describe the endoscope-assisted contralateral paramedian approach to large left-falcine meningiomas to avoid retraction of the ipsilateral thin layer of eloquent brain cortex.
Conclusions
The contralateral paramedian approach enables complete tumor resection with endoscopic-assisted removal of tumor remnants in the superior aspect of the resection cavity, sparing any manipulation of ipsilateral brain tissue.