Acta Neurochirurgica

, Volume 155, Issue 10, pp 1993–1995 | Cite as

Modelling pathology from autolog fresh cadaver organs as a novel concept in neurosurgical training

  • András CsókayEmail author
  • Attila Papp
  • Domonkos Imreh
  • Máté Czabajszky
  • István Valálik
  • Bálint Antalfi
Technical Note - Neurosurgery Training



The aim of neurosurgical cadaver training for residents and fellows is not only to obtain a high level of skills, but also to keep the number of complications during the learning curve as low as possible. To move this process forward, we have worked out a novel method in further training.


Tumours can be modelled from the autolog organs. We can then implant the modelled tumour from the opposite direction and a colleague can remove the pathology from the correct approach.


We have experienced improving skills in difficult microsurgical operations.


We have performed more than 800 fresh cadaver operations over the last 6 years. The last 70 cases have been performed with modelling pathology. In our department, we introduce a regular weekly program in our cadaver operating theatre. The consideration could be useful not only for the young neurosurgeons but also for experienced colleagues.


Cadaver dissection Neurosurgical training Modelled pathology 



We certify that this manuscript is a unique submission and is not being considered for publication with any other source in any medium.

Conflicts of interest


Supplementary material


Part 1: III. Ventricle tumour model. Translamina terminalis approach.

Part 2: Intrasellar tumour model. Transylvian approach.

Part 3: C0-C2 intradural-extramedular tumour model. Transmassa lateralis CI approach.

Part 4: Right ventricle tumour model. Transcallosal removal.

(WMV 25385 kb)


  1. 1.
    Aboud E, Al-Mefty O, Yaşargil MG (2002) New laboratory model for neurosurgical training that simulates live surgery. J Neurosurg 97:1367–1372PubMedCrossRefGoogle Scholar
  2. 2.
    Hamamcioglu MK, Hicdonmez T, Tiryaki M, Cobanoglu S (2008) A laboratory training model in fresh cadaveric sheep brain for microneurosurgical dissection of cranial nerves in posterior fossa. British. J Neurosurg 22:769–771CrossRefGoogle Scholar
  3. 3.
    John PC (2008) Modern approaches to teaching and learning anatomy. BMJ 337:310Google Scholar
  4. 4.
    Sanan A, Aziz K, Janjua R, Loveren H, Keller J (1999) Colored silicone injection for use in neurosurgical dissections: Anatomic technical note. Neurosurgery 45:1267–1268PubMedCrossRefGoogle Scholar
  5. 5.
    Hicdonmez T, Hamamcioglu MK, Parsak T, Cobanoglu S (2006) A laboratory training model for interhemispheric-transcallosal approach to the lateral ventricle. Neurosurg Rev 29:159–162PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Wien 2013

Authors and Affiliations

  • András Csókay
    • 1
    Email author
  • Attila Papp
    • 1
  • Domonkos Imreh
    • 2
  • Máté Czabajszky
    • 1
  • István Valálik
    • 3
  • Bálint Antalfi
    • 4
  1. 1.Department of NeurosurgeryBAZ County HospitalMiskolcHungary
  2. 2.Department of SurgerySt.Margaret HospitalBudapestHungary
  3. 3.Department of NeurosurgerySt.John’s HospitalBudapestHungary
  4. 4.Department of PathologyMISEK HospitalMiskolcHungary

Personalised recommendations