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

Details

Serval ID
serval:BIB_D8D4083AB08D
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Extreme Lateral Supracerebellar Infratentorial Approach: Surgical Anatomy and Review of the Literature.
Journal
World neurosurgery
Author(s)
Giammattei L., Starnoni D. (co-first), Benes V., Froelich S., Cossu G., Borsotti F., Májovsky M., Sufianov A.A., Fava A., di Russo P., Elbabaa S.K., González-López P., Messerer M., Daniel R.T.
ISSN
1878-8769 (Electronic)
ISSN-L
1878-8750
Publication state
Published
Issued date
03/2021
Peer-reviewed
Oui
Volume
147
Pages
89-104
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
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.
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.
The ELSI approach allows for wide exposure of the middle and posterolateral incisural spaces with direct access to centrally located intra-axial 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.
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.
Keywords
cavernoma, glioma, meningioma, supracerebellar infratentorial approach, Cavernoma, Glioma, Meningioma, Supracerebellar infratentorial approach
Pubmed
Web of science
Open Access
Yes
Create date
29/12/2020 15:48
Last modification date
04/08/2021 6:37
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