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In endoscopic transnasal resection of parasellar meningiomas, the diaphragm is dissected, avoiding injury to the pituitary stalk (inset image.)
https://t.co/CwuTKxR93A
In the middle cranial fossa approach for an acoustic tumor, the tumor capsule is debulked and peeled away from the facial nerve. https://t.co/lFCRHj3tvT
During the subtemporal or middle fossa approach, the remaining base of the temporal squama is reduced flush with the floor of the middle fossa. https://t.co/lFCRHj3tvT
During microvascular decompression for trigeminal neuralgia, deeper arachnoid membranes should be dissected free with a fine ball-tip probe to facilitate correct CN identification (top). CN V is deeper and more medial than the VII/VIII complex (bottom).
https://t.co/Km71G4zbW8
The lateral paramedian operative corridor provides a more inferior trajectory compared to midline approaches, and is beneficial for accessing the inferior extension of midline and lateral dorsal mesencephalic and pontine tumors.
https://t.co/pbKEDPAeKi
In this operative video, resection of a large acoustic neuroma is demonstrated.
Learn more here:
https://t.co/KXcaWDPiJ6
#nsgy #cranial #tumor
For skull base tumors, the encasing arachnoid sheath of the nerve is used as a handle to mobilize the nerve away from the tumor capsule using fine forceps. https://t.co/KRUj7c3GyP
During vestibular neurotomy for Menieres disease, the cleavage plane is accessed by using a blunt angled microdissector to separate the vestibular and cochlear divisions. A reasonable plane can often be found.
https://t.co/IeKulKlHtr
Here is an exposure of the right CN VII/VIII complex through the right-sided retromastoid approach. The vestibular component of the nerve is usually more grayish in color. https://t.co/IeKulKlHtr
Check out our recent @WorldNeurosurg publication --> Transtentorial Approach to Parahippocampal Lesions: A Technically Challenging Approach for Preserving Temporal Lobe Structures
https://t.co/XxwhR8ccID
@AANSNeuro @CNS_Update @ZoeTeton @benkhendricks @DarioMarotta_