Abstract
In exposing deep extracerebral or paraventricular lesions, it sometimes may be preferable to resect a small amount of noneloquent brain tissue rather than retract the brain. This may be the case in carefully selected instances when, in the surgeon's estimate, brain retraction may result in significant parenchymal damage, in aneurysmal rupture, or in damage to important bridging veins. Some surgical approaches involving brain resection have been well described. This technical note discusses the following approaches that, though undoubtedly used by many surgeons sporadically, have received less formal attention: (1) anterior-inferior temporal resection for basilar aneurysms, (2) posterior-inferior temporal resection to approach the posterior incisura and avoid damage to the vein of Labbé, (3) parahippocampal resection to expose the posterior cerebral artery in the ambient cistern, (4) paramedial posterior parietal incision to approach the trigone of the lateral ventricle, (5) parasagittal resection to expose the interhemispheric fissure and avoid damage to bridging veins, (6) cingulate resection for pericallosal aneurysms, and (7) tonsillar resection for aneurysms of the peripheral portion of the posterior-inferior cerebellar arteries.
| Original language | English |
|---|---|
| Pages (from-to) | 188-195 |
| Number of pages | 8 |
| Journal | Surgical Neurology |
| Volume | 34 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jan 1 1990 |
| Externally published | Yes |
Fingerprint
Keywords
- Brain incision
- Brain resection
- Cerebral arteriovenous malformations
- Intracranial aneurysms
- Surgical techniques
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
Cite this
Brain resection for exposure of deep extracerebral and paraventricular lesions. / Heros, Roberto.
In: Surgical Neurology, Vol. 34, No. 3, 01.01.1990, p. 188-195.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Brain resection for exposure of deep extracerebral and paraventricular lesions
AU - Heros, Roberto
PY - 1990/1/1
Y1 - 1990/1/1
N2 - In exposing deep extracerebral or paraventricular lesions, it sometimes may be preferable to resect a small amount of noneloquent brain tissue rather than retract the brain. This may be the case in carefully selected instances when, in the surgeon's estimate, brain retraction may result in significant parenchymal damage, in aneurysmal rupture, or in damage to important bridging veins. Some surgical approaches involving brain resection have been well described. This technical note discusses the following approaches that, though undoubtedly used by many surgeons sporadically, have received less formal attention: (1) anterior-inferior temporal resection for basilar aneurysms, (2) posterior-inferior temporal resection to approach the posterior incisura and avoid damage to the vein of Labbé, (3) parahippocampal resection to expose the posterior cerebral artery in the ambient cistern, (4) paramedial posterior parietal incision to approach the trigone of the lateral ventricle, (5) parasagittal resection to expose the interhemispheric fissure and avoid damage to bridging veins, (6) cingulate resection for pericallosal aneurysms, and (7) tonsillar resection for aneurysms of the peripheral portion of the posterior-inferior cerebellar arteries.
AB - In exposing deep extracerebral or paraventricular lesions, it sometimes may be preferable to resect a small amount of noneloquent brain tissue rather than retract the brain. This may be the case in carefully selected instances when, in the surgeon's estimate, brain retraction may result in significant parenchymal damage, in aneurysmal rupture, or in damage to important bridging veins. Some surgical approaches involving brain resection have been well described. This technical note discusses the following approaches that, though undoubtedly used by many surgeons sporadically, have received less formal attention: (1) anterior-inferior temporal resection for basilar aneurysms, (2) posterior-inferior temporal resection to approach the posterior incisura and avoid damage to the vein of Labbé, (3) parahippocampal resection to expose the posterior cerebral artery in the ambient cistern, (4) paramedial posterior parietal incision to approach the trigone of the lateral ventricle, (5) parasagittal resection to expose the interhemispheric fissure and avoid damage to bridging veins, (6) cingulate resection for pericallosal aneurysms, and (7) tonsillar resection for aneurysms of the peripheral portion of the posterior-inferior cerebellar arteries.
KW - Brain incision
KW - Brain resection
KW - Cerebral arteriovenous malformations
KW - Intracranial aneurysms
KW - Surgical techniques
UR - http://www.scopus.com/inward/record.url?scp=0025106064&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025106064&partnerID=8YFLogxK
U2 - 10.1016/0090-3019(90)90073-X
DO - 10.1016/0090-3019(90)90073-X
M3 - Article
C2 - 2385826
AN - SCOPUS:0025106064
VL - 34
SP - 188
EP - 195
JO - World Neurosurgery
JF - World Neurosurgery
SN - 1878-8750
IS - 3
ER -