Michael Amoo1,2,3, Kieron J Sweeney4,5, Ronan Kilbride6, Mohsen Javadpour7,4,5,8. 1. Department of Neurosurgery, Beacon Hospital, Sandyford, Dublin 18, Ireland. michaelamoo@rcsi.ie. 2. National Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland. michaelamoo@rcsi.ie. 3. Royal College of Surgeons in Ireland, Dublin, Ireland. michaelamoo@rcsi.ie. 4. National Neurosurgical Centre, Beaumont Hospital, Dublin 9, Ireland. 5. Royal College of Surgeons in Ireland, Dublin, Ireland. 6. Department of Neurology and Clinical Neurophysiology, Beaumont Hospital, Dublin 9, Ireland. 7. Department of Neurosurgery, Beacon Hospital, Sandyford, Dublin 18, Ireland. 8. Department of Academic Neurology, Trinity College Dublin, Dublin, Ireland.
Abstract
BACKGROUND: The surgical management of deep brain lesions is challenging, with significant morbidity. Advances in surgical technology have presented the opportunity to tackle these lesions. METHODS: We performed a complete resection of a thalamic/internal capsule CM using a tubular retractor system via a parietal trans-sulcal para-fascicular (PTPF) approach without collateral injury to the nearby white matter tracts. CONCLUSION: PTPF approach to lateral thalamic/internal capsule lesions can be safely performed without injury to eloquent white matter fibres. The paucity of major vessels along this trajectory and the preservation of lateral ventricle integrity make this approach a feasible alternative to traditional approaches.
BACKGROUND: The surgical management of deep brain lesions is challenging, with significant morbidity. Advances in surgical technology have presented the opportunity to tackle these lesions. METHODS: We performed a complete resection of a thalamic/internal capsule CM using a tubular retractor system via a parietal trans-sulcal para-fascicular (PTPF) approach without collateral injury to the nearby white matter tracts. CONCLUSION: PTPF approach to lateral thalamic/internal capsule lesions can be safely performed without injury to eloquent white matter fibres. The paucity of major vessels along this trajectory and the preservation of lateral ventricle integrity make this approach a feasible alternative to traditional approaches.