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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. #neurosurgery #tumor
https://t.co/fuJYioaPK2
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.
#neurosurgery #neuroanatomy
https://t.co/dU3x8QyDy3
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
#nsgy #tumor #complexcranial
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
#AVMs #cerebrovascular #nsgy
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
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
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
The basic principles of the anterior interhemispheric transcallosal approach are illustrated. The reach of this approach is shaded in green (inset image). #nsgy #neurosurgery #tumor https://t.co/1zAOV1Crte
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. #neurosurgery #brain #neuroanatomy
https://t.co/WqpYe5I1eh
Patient positioning matters! Here’s a great refresher for incoming #NSGY interns and current residents in this #NeurosurgicalAtlas Ground Rounds: Patient Positioning for Intracranial Surgery with Dr. William Couldwell: https://t.co/lBIDamGpdy @NSTumorSection @cvsection