197 research outputs found
Propofol, amobarbital… is it the substance that matters, or the question about the role of the Wada test in brain tumor patients?
Neurosurgeons in the Corona crisis: striving for remedy and redemption. A message from the president of the EANS
How Neurosurgeons Are Coping with COVID-19 and How It Impacts Our Neurosurgical Practice: Report from Geneva University Medical Center
Anterior temporal lobectomy
Anterior temporal lobectomy is the most established neurosurgical procedure for temporal lobe epilepsy. Here we describe this technique. METHOD: A temporal craniotomy is performed flush with the middle fossa and exposing the Sylvian fissure. The posterior extent of resection is determined as 4.5 cm in the dominant temporal lobe and 5.5 cm in the nondominant one. The first stage consists of removing the lateral neocortex and part of the fusiform gyrus, parallel to the Sylvian fissure, while keeping the temporal horn as the medial limit in the coronal plane. Then, the amygdala, uncus, fimbriae, hippocampus and collateral eminence are identified, transected and resected with the parahippocampal gyrus to complete the procedure. CONCLUSION: Knowledge of the temporomesial anatomy, including neurovascular structures around the brainstem, is essential to keep this procedure safe and effective
Remi Nader, Scott C. Berta, Cristian Gragnaniello, Abdulrahman J. Sabbagh, Michael L. Levy: Neurosurgery tricks of the trade: spine and peripheral nerves
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