0000000000408751
AUTHOR
Aaron Cohen-gadol
Innovations in the Art of Microneurosurgery for Reaching Deep-Seated Cerebral Lesions.
Deep-seated cerebral lesions have fascinated and frustrated countless surgical innovators since the dawn of the microneurosurgical era. To determine the optimal approach, the microneurosurgeon must take into account the characteristics and location of the pathological lesion as well as the operator's range of technical expertise. Increasingly, microneurosurgeons must select between multiple operative corridors that can provide access to the surgical target. Innovative trajectories have emerged for many indications that provide more flexible operative angles and superior exposure but result in longer working distances and more technically demanding maneuvers. In this article, we highlight 4 …
Resection of Brainstem Cavernous Malformations: Pearls and Pitfalls for Minimizing Complications
BACKGROUND: Surgical management of brainstem cavernous malformations (CMs) is a controversial topic in the field of neurosurgery. These lesions have a propensity to hemorrhage, thereby disrupting surrounding brainstem eloquence.METHODS: This article provides the personal reflections are senior author and a narrative literature review on resection of brainstem CMs.RESULTS: Here we discuss the indications for microsurgery, microsurgical techniques and nuances, and perioperative management considerations necessary to minimize complications during resection of brainstem CMs, which are lesions of venous origin.CONCLUSIONS: The natural history of the lesion, risk of future hemorrhage, and potenti…