Alvaro Campero1. 1. Servicio de Neurocirugía, Hospital Padilla, Tucumán, Argentina.
Abstract
OBJECTIVE: To describe the microsurgical anatomy and approaches to the mesial temporal region (MTR), in relation with cavernomas. METHODS: Five adult cadaveric heads, fixed in formol and injected with colored silicon were studied. Since January 2007 and June 2014, the author operated 7 patients with cavernomas located in the MTR. ANATOMY: The MTR was divided in 3 portions: Anterior, middle and posterior. PATIENTS: The author operated 7 patients with MTR cavernomas. Four cavernomas were located in the anterior portion, 2 were located in the middle portion, and 1 cavernoma was located in the posterior portion. The transsylvian-transinsular approach was used for the anterior portion of the MTR; the transtemporal approach (anterior temporal lobectomy) was used for the middle portion of the MTR; and the supracerebellar-transtentorial approach was used for the posterior portion of the MTR. CONCLUSION: The idea of divide the MTR in 3 portions help to select the correct approach.
OBJECTIVE: To describe the microsurgical anatomy and approaches to the mesial temporal region (MTR), in relation with cavernomas. METHODS: Five adult cadaveric heads, fixed in formol and injected with colored silicon were studied. Since January 2007 and June 2014, the author operated 7 patients with cavernomas located in the MTR. ANATOMY: The MTR was divided in 3 portions: Anterior, middle and posterior. PATIENTS: The author operated 7 patients with MTR cavernomas. Four cavernomas were located in the anterior portion, 2 were located in the middle portion, and 1 cavernoma was located in the posterior portion. The transsylvian-transinsular approach was used for the anterior portion of the MTR; the transtemporal approach (anterior temporal lobectomy) was used for the middle portion of the MTR; and the supracerebellar-transtentorial approach was used for the posterior portion of the MTR. CONCLUSION: The idea of divide the MTR in 3 portions help to select the correct approach.
Authors: Jean G de Oliveira; Richard Gonzalo Párraga; Feres Chaddad-Neto; Guilherme Carvalhal Ribas; Evandro P L de Oliveira Journal: J Neurosurg Date: 2012-01-13 Impact factor: 5.115
Authors: N F Moran; D R Fish; N Kitchen; S Shorvon; B E Kendall; J M Stevens Journal: J Neurol Neurosurg Psychiatry Date: 1999-05 Impact factor: 10.154