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Dr. Aaron Cohen-Gadol’s most respected & popular collection of advanced microneurosurgical techniques in the world. linktr.ee/NeurosurgicalA
neurosurgicalatlas.com

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Craniopharyngiomas can have suprasellar components with cystic expansion. Illustrated here is a retrochiasmatic craniopharyngioma, with endoscopic visualization of the tuberculum sellae and anterior wall of the sella outlined in blue.
https://t.co/fuJYioaPK2

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Kocher’s point maximizes chances of safe placement of an external ventricular drain. A key step is to drill the burr hole and place the catheter perpendicular to the skull, with the catheter aimed toward the foramen of Monro.

https://t.co/dU3x8QyDy3

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In this operative video, Dr. Cohen discusses resection of a craniopharyngioma using an orbitozygomatic craniotomy with a translaminar terminalis approach.

See the pearls here:

https://t.co/vI9bdbZ5sf

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Watch as Dr. Cohen removes an arteriovenous malformation within eloquent cortices using the intranidal resection technique. This technique allows for maximal protection of vital structures around the nidus.

https://t.co/JZhxEV9GO2

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The trans-sylvian corridor is limited but provides a less invasive route to the medial temporal lobe. This sketch demonstrates the resection of the right amygdala and anterior hippocampus through the transsylvian approach. The oculomotor nerve is apparent.
https://t.co/1zAOV1Crte

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Anterior temporal neocortical resection can provide the necessary exposure to the anterior and posterior parts of the temporal horn, amygdala, uncus and hippocampus.
https://t.co/1zAOV1Crte

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The posterior interhemispheric transcallosal approach exploits a callosotomy just anterior to the splenium that must be preserved. This route also exposes posterior third ventricular and large pineal region tumors with cranial extension.

https://t.co/1zAOV1Crte

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The basic principles of the anterior interhemispheric transcallosal approach are illustrated. The reach of this approach is shaded in green (inset image). https://t.co/1zAOV1Crte

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Many of the arteries supplying the insula originate from the M2 segment. Long M2 perforators can travel through tumors, but often supply the corona radiata and thus must be preserved during resection of insular lesions.

https://t.co/WqpYe5I1eh

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Patient positioning matters! Here’s a great refresher for incoming interns and current residents in this Ground Rounds: Patient Positioning for Intracranial Surgery with Dr. William Couldwell: https://t.co/lBIDamGpdy

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