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Education and training in microsurgery: a current global overview.
[OBJECTIVE] Microsurgical skills are challenging to acquire and maintain, also presenting significant educational differences among practitioners. By exploring the current state of microsurgical training from the surgeon's perspective (incl…
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Trans-tonsillar approach for resection of a tumor located in the lateral aspect of the medulla: Operative video.
[BACKGROUND] The purpose of this video is to describe the microsurgical corridor of the trans-tonsillar approach for resection of a tumor located in the right lateral aspect of the medulla. [CASE DESCRIPTION] We presented a 56-year-old pat…
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Retrosigmoid transhorizontal fissure approach for the resection of a pontine cavernous malformation: Three-dimensional operative video.
[BACKGROUND] Brainstem cavernous malformations (BSCMs) represent a surgical challenge due to their location deep within critical neural pathways. While histologically benign, BSCMs exhibit an aggressive clinical course, with a higher risk o…
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Latex vascular injection as method for enhanced neurosurgical training and skills.
[BACKGROUND] Tridimensional medical knowledge of human anatomy is a key step in the undergraduate and postgraduate medical education, especially in surgical fields. Training simulation before real surgical procedures is necessary to develop…
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[Microvascular decompression in hemifacial spasm: functional outcome].
[INTRODUCTION] Hemifacial spasm (HFS) is a rare condition, characterized by unilateral, paroxysmal and involuntary contraction of the muscles innervated by the facial nerve (FN). The most common cause is a vascular conflict in the exit zone…
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Giant Invasive Intradural Extramedullary Lumbar Schwannoma: A Case Report and Literature Review.
Schwannomas are benign nerve sheath tumors that arise from Schwann cells, which are responsible for producing the myelin sheath that surrounds nerves. They are typically slow-growing and can occur in various locations in the body, including…
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Enhancing microsurgical skills in neurosurgery residents of low-income countries: A comprehensive guide.
[BACKGROUND] The main objectives of this paper are to outline the essential tools, instruments, and equipment needed to set up a functional microsurgery laboratory that is affordable for low-income hospitals and to identify cost-effective a…
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Supracerebellar Transtentorial Approach for Posterior Temporomesial Cavernoma: 3-Dimensional Operative Video.
The temporomesial region is a frequent site of neurosurgical lesions such as tumors, cavernomas, or arteriovenous malformations. This region has been divided into 3 regions: anterior, middle, and posterior. The objective of Video 1 is to pr…
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Classification and Management of Pontecerebellar-Petrosal Bridging Veins.
[OBJECTIVES] The risks and benefits of coagulating intradural venous elements during a retrosigmoid approach for trigeminal neurovascular decompression has not been accurately established. The objectives of this study were to identify the v…
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Single-Stage Complete Removal of Dumbbell-Shaped Trigeminal Schwannoma: 3-Dimensional Operative Video.
Intracranial trigeminal schwannomas are rare tumors that may extend into multiple cranial compartments and may emerge from the root, ganglion, or intracranial portion of any of its branches. The aim of this 3-dimensional operative video is …
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Histological changes of vascular clipping in Wistar rats.
[BACKGROUND] During aneurysm microsurgery, the aneurysmal sac is excluded from circulation by placing one or more clips at the base of the aneurysm. In some cases of complex aneurysms or subarachnoid hemorrhage history, transient clipping b…
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Double-Stage Complete Removal of Dumbbell-Shaped Trigeminal Schwannoma: 3-Dimensional Operative Video.
Intracranial trigeminal schwannomas are rare tumors.1-4 The aim of this 3-dimensional operative video is to present a double stage complete removal of a dumbbell-shaped trigeminal schwannoma. This is a 25-yr-old male with headaches, diplopi…
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Microsurgical Resection of a Chiasmatic Cavernoma: 3-Dimensional Operative Video.
According to reports from the literature,1,2 depending on the location where cavernomas appear, range from the very common locations to unusual. Cavernous malformations arising from the optic nerve and chiasm are rare, with only few cases r…
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Microsurgical Clipping of Carotid-Ophthalmic Tandem Aneurysms: Case Report and Surgical Nuances.
Tandem intracranial aneurysms (TandIAs) are rare but inherently complex, and special technical considerations are required for their surgical management. The present case highlights the key surgical aspects of two carotid-ophthalmic TandIAs…
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Optic Nerve Mobilization as an Alternative to Anterior Clinoidectomy for Superior Carotid-Ophthalmic Aneurysms: Operative Technique.
[BACKGROUND] Carotid-ophthalmic aneurysms arise from the internal carotid artery between the distal dural ring and the origin of the posterior communicating artery. The surgical treatment of these aneurysms usually requires anterior clinoid…
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Interhemispheric Contralateral Transfalcine Approach for Subparacentral Arteriovenous Malformation: 3-Dimensional Operative Video.
Neurovascular procedures along the interhemispheric fissure harbor unique features differentiating them from those arteriovenous malformations (AVMs) located at the lateral surface of the brain.1-4 The aim of this 3-dimensional operative v…
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Complete Removal of Bilateral Clinoidal Meningiomas Through a Pterional Approach: 3-Dimensional Operative Video.
Surgical removal of anterior clinoidal meningiomas remains a challenge because of its complicated relationship with surrounding vascular and neural structures.1-3 This is a 39-yr-old female, with headaches, neurofibromatosis type 2, and hi…
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Microsurgical Resection of Vestibular Schwannomas, Presentation of Cases in 3D: 3-Dimensional Operative Video.
Vestibular schwannomas are the most common benign tumors of the pontocerebellar angle,1,2 their microsurgical complexity is related to their size and neurovascular relationships. The purpose of this work is to analyze the clinical, anatomic…
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Orbitomeningeal Band in Transcavernous Dissection and Anterior Clinoidectomy: 3-Dimensional Operative Video.
The orbitomeningeal or meningo-orbital band (MOB) has been described as the most superficial dural band responsible for tethering the frontotemporal basal dura to the periorbita.1,2 The MBO usually interferes with the surgical approach to t…