Extreme Lateral Supracerebellar Infratentorial Approach: Surgical Anatomy and Review of the Literature.

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F21%3A00001029" target="_blank" >RIV/61383082:_____/21:00001029 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/21:10423164

Result on the web

<a href="https://pubmed.ncbi.nlm.nih.gov/33333288/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/33333288/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.wneu.2020.12.042" target="_blank" >10.1016/j.wneu.2020.12.042</a>

Result language

angličtina

Original language name

Extreme Lateral Supracerebellar Infratentorial Approach: Surgical Anatomy and Review of the Literature.

Original language description

OBJECTIVE: The extreme lateral supracerebellar infratentorial (ELSI) approach has the potential to access several distinct anatomical regions that are otherwise difficult to reach. We have illustrated the surgical anatomy through cadaveric dissections and provided an extensive review of the literature to highlight the versatility of this approach, its limits, and comparisons with alternative approaches. METHODS: The surgical anatomy of the ELSI has been described using 1 adult-injected cadaveric head. Formalized noninjected brain specimens were also dissected to describe the brain parenchymal anatomy of the region. An extensive review of the literature was performed according to each targeted anatomical region. Illustrative cases are also presented. RESULTS: The ELSI approach allows for wide exposure of the middle and posterolateral incisural spaces with direct access to centrally located intraaxial structures such as the splenium, pulvinar, brainstem, and mesial temporal lobe. In addition, for skull base extra-axial tumors such as petroclival meningiomas, the ELSI approach represents a rapid and adequate method of access without the use of extensive skull base approaches. CONCLUSIONS: The ELSI approach represents one of the most versatile approaches with respect to its ability to address several anatomical regions centered at the posterior and middle incisural spaces. For intra-axial pathologies, the approach allows for access to the central core of the brain with several advantages compared with alternate approaches that frequently involve significant brain retraction and cortical incisions. In specific cases of skull base lesions, the ELSI approach is an elegant alternative to traditionally used skull base approaches, thereby avoiding approach-related morbidity.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30103 - Neurosciences (including psychophysiology)

Project

<a href="/en/project/NV19-04-00272" target="_blank" >NV19-04-00272: Relationship of meningioma origo to arachnoid membranes, extent of resection and surgical risks</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

World neurosurgery

ISSN

1878-8750

e-ISSN

—

Volume of the periodical

147

Issue of the periodical within the volume

Mar

Country of publishing house

US - UNITED STATES

Number of pages

16

Pages from-to

89-104

UT code for WoS article

000626743400081

EID of the result in the Scopus database

2-s2.0-85099396477