Skip to main content

Advertisement

Log in

The endoscope-assisted contralateral paramedian approach to large falcine meningiomas

  • How I Do it - Neurosurgical Techniques
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Background

Resection of large falcine meningiomas can be challenging as overlaying cortical brain is endangered during the surgical approach.

Method

We describe the endoscope-assisted contralateral paramedian approach to large left-falcine meningiomas to avoid retraction of the ipsilateral thin layer of eloquent brain cortex.

Conclusions

The contralateral paramedian approach enables complete tumor resection with endoscopic-assisted removal of tumor remnants in the superior aspect of the resection cavity, sparing any manipulation of ipsilateral brain tissue.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Barajas RF Jr, Sughrue ME, McDermott MW (2010) Large falcine meningioma fed by callosomarginal branch successfully removed following contralateral interhemispheric approach. J Neurooncol 97(1):127–131

    Article  PubMed  Google Scholar 

  2. Bohnstedt BN, Kulwin CG, Shah MV, Cohen-Gadol AA (2015) Posterior interhemispheric transfalcine transprecuneus approach for microsurgical resection of periatrial lesions: indications, technique, and outcomes. J Neurosurg 123(4):1045–1054. https://doi.org/10.3171/2015.3.JNS14847.

    Article  PubMed  Google Scholar 

  3. Ferroli P, Russo A, Albanese E, Tringali G, Broggi G (2007) Gravity-aided trans-falcine removal of a contralateral subcortical ependymoma. Acta Neurochir 149(11):1147–1150 discussion 1150

    Article  CAS  PubMed  Google Scholar 

  4. Goel A (1995) Transfalcine approach to a contralateral hemispheric tumor. Acta Neurochir 135(3–4):210–212

    Article  CAS  PubMed  Google Scholar 

  5. Malekpour M, Cohen-Gadol AA (2015) Interhemispheric transfalcine approach and awake cortical mapping for resection of peri-atrial gliomas associated with the central lobule. J Clin Neurosci 22(2):383–386. https://doi.org/10.1016/j.jocn.2014.07.017

    Article  PubMed  Google Scholar 

  6. Mukherjee S, Minhas PS (2014) Contralateral approach to resection of a parafalcine meningioma. A technical note. Br J Neurosurg 28(5):699–700

    Article  PubMed  Google Scholar 

  7. Roser F, Honegger J, Schuhmann MU, Tatagiba MS (2012) Meningiomas, nerve sheath tumors, and pituitary tumors: diagnosis and treatment. Hematol Oncol Clin North Am 26(4):855–879

    Article  PubMed  Google Scholar 

  8. Sun C, Xie T, Zhang X, Zhu W, Gu Y, Wang H (2014) To repeat or to recreate: a contralateral posterior interhemispheric transfalcine transprecuneus approach for recurrent meningiomas at the trigone of the lateral ventricle. J Clin Neurosci 21(11):1968–1972. https://doi.org/10.1016/j.jocn.2014.03.030

    Article  PubMed  Google Scholar 

  9. Zuo FX, Wan JH, Li XJ, Qian HP, Meng XL (2012) A proposed scheme for the classification and surgical planning of falcine meningioma treatment. Clin Neurosci 19(12):1679–1683

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Luigi Rigante.

Ethics declarations

Informed consent

The patient has consented to submission of this “How I Do It” to this journal.

Conflict of interest

None.

Electronic supplementary material

ESM Audio 1

(M4A 1744 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Roser, F., Rigante, L. The endoscope-assisted contralateral paramedian approach to large falcine meningiomas. Acta Neurochir 160, 79–82 (2018). https://doi.org/10.1007/s00701-017-3382-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00701-017-3382-y

Keywords

Navigation