How I do it: parietal trans-sulcal para-fascicular approach to lateral thalamic/internal capsule cavernous malformation.
- Resource Type
- Academic Journal
- Authors
- Amoo M; Department of Neurosurgery, Beacon Hospital, Sandyford, Dublin 18, Ireland. michaelamoo@rcsi.ie.; National Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland. michaelamoo@rcsi.ie.; Royal College of Surgeons in Ireland, Dublin, Ireland. michaelamoo@rcsi.ie.; Sweeney KJ; National Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland.; Royal College of Surgeons in Ireland, Dublin, Ireland.; Kilbride R; Department of Neurology and Clinical Neurophysiology, Beaumont Hospital, Dublin 9, Ireland.; Javadpour M; Department of Neurosurgery, Beacon Hospital, Sandyford, Dublin 18, Ireland.; National Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland.; Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Academic Neurology, Trinity College Dublin, Dublin, Ireland.
- Source
- Publisher: Springer Country of Publication: Austria NLM ID: 0151000 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0942-0940 (Electronic) Linking ISSN: 00016268 NLM ISO Abbreviation: Acta Neurochir (Wien) Subsets: MEDLINE
- Subject
- Language
- English
Background: The surgical management of deep brain lesions is challenging, with significant morbidity. Advances in surgical technology have presented the opportunity to tackle these lesions.
Methods: We performed a complete resection of a thalamic/internal capsule CM using a tubular retractor system via a parietal trans-sulcal para-fascicular (PTPF) approach without collateral injury to the nearby white matter tracts.
Conclusion: PTPF approach to lateral thalamic/internal capsule lesions can be safely performed without injury to eloquent white matter fibres. The paucity of major vessels along this trajectory and the preservation of lateral ventricle integrity make this approach a feasible alternative to traditional approaches.
(© 2021. The Author(s).)