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59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

01. - 04.06.2008, Würzburg

The benefit of image guidance for the contralateral interhemispheric approach to the lateral ventricle

Nutzen der Neuronavigation für den kontralateralen interhemisphärischen Zugang zum Seitenventrikel

Meeting Abstract

  • corresponding author C. Fronda - Division of Neurosurgery, Department of Neuroscience, University of Torino, Torino, Italy
  • D. Miller - Department of Neurosurgery, Philipps University Clinic, Marburg, Germany
  • C. Kappus - Department of Neurosurgery, Philipps University Clinic, Marburg, Germany
  • H. Bertalanffy - Department of Neurosurgery, Universitätsspital Zürich, Zürich, Switzerland
  • U. Sure - Department of Neurosurgery, Philipps University Clinic, Marburg, Germany

Deutsche Gesellschaft für Neurochirurgie. Società Italiana di Neurochirurgia. 59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch). Würzburg, 01.-04.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocP 020

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2008/08dgnc288.shtml

Veröffentlicht: 30. Mai 2008

© 2008 Fronda et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Recently, neurosurgeons have increasingly faced small intracerebral lesions in asymptomatic or minimally symptomatic patients. Here, we evaluated a series of four patients with nearly asymptomatic intraventricular tumors close to the corpus callosum that had been treated with the aid of an image guided transcallosal approach.

Methods: Four consecutive patients suffering from left intra- and paraventricular tumors were operated on via a contralateral interhemispheric transcallosal approach with the aid of neuronavigation. Our image guided system (VectorVision2, BrainLAB, Heimstetten, Germany) directed (1) the skin incision, (2) the interhemispheric dissection, and (3) the incision of the corpus callosum.

Results: Using the image guided contralateral interhemispheric transcallosal approach to the left ventricle all lesions have been completely resected without risk to the dominant hemisphere. The callosal incision was kept as limited as possible (1.2 - 2.1 cm) depending on the size of the tumor. No postoperative neurological or neuropsychological deficit was observed in our series.

Conclusions: Neuronavigation facilitates a safe and targeted contralateral interhemispheric transcallosal approach to the dominant hemisphere's lateral ventricle. Our technique minimizes the risk of damage to the dominant hemisphere and requires only a limited opening of the corpus callosum, which might decrease the risk of neuropsychological morbidity.