Book contents
- Integrated Management of Complex Intracranial Lesions
- Integrated Management of Complex Intracranial Lesions
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section I Endoscopic Endonasal (EN) Combined Approaches
- Section II Open Combined Approaches
- Chapter 6 Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
- Chapter 7 Hybrid/Combined Strategies for Vestibular Schwannomas
- Chapter 8 Transchoroidal, Subchoroidal, and Combined Approaches to the Third Ventricle
- Chapter 9 Combined Orbitofrontal Craniotomy and Direct Orbital Decompression
- Chapter 10 Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
- Chapter 11 Combined Middle Fossa Craniotomy and Mastoidectomy for Cerebrospinal Fluid Leak Repair and Encephalocele Resection
- Chapter 12 Transcochlear and Extended/Combined Transcochlear Approaches for Complex Tumors of the Skull Base and Posterior Cranial Fossa
- Chapter 13 Combined Retrosigmoid and Orbitozygomatic Approach
- Chapter 14 Combined Retrosigmoid and Limited Anterior Petrosectomy (“Reverse Petrosectomy”)
- Chapter 15 Combined Suboccipital Craniotomy and Neck Dissection
- Chapter 16 Combined Petrosal Approach
- Chapter 17 Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach
- Chapter 18 Combined Multi-portal “Pull-Through” Keyhole Craniotomy
- Chapter 19 Combined Keyhole Craniotomies for Multifocal or Multiple Lesions
- Chapter 20 Combined Microsurgical and Endovascular Treatment of Cerebrovascular and Skull Base Pathology
- Chapter 21 Combined Transsylvian-Subtemporal Approach to Anterior Circulation and Basilar Apex Aneurysms
- Index
- References
Chapter 18 - Combined Multi-portal “Pull-Through” Keyhole Craniotomy
from Section II - Open Combined Approaches
Published online by Cambridge University Press: 05 October 2021
Book contents
- Integrated Management of Complex Intracranial Lesions
- Integrated Management of Complex Intracranial Lesions
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section I Endoscopic Endonasal (EN) Combined Approaches
- Section II Open Combined Approaches
- Chapter 6 Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
- Chapter 7 Hybrid/Combined Strategies for Vestibular Schwannomas
- Chapter 8 Transchoroidal, Subchoroidal, and Combined Approaches to the Third Ventricle
- Chapter 9 Combined Orbitofrontal Craniotomy and Direct Orbital Decompression
- Chapter 10 Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
- Chapter 11 Combined Middle Fossa Craniotomy and Mastoidectomy for Cerebrospinal Fluid Leak Repair and Encephalocele Resection
- Chapter 12 Transcochlear and Extended/Combined Transcochlear Approaches for Complex Tumors of the Skull Base and Posterior Cranial Fossa
- Chapter 13 Combined Retrosigmoid and Orbitozygomatic Approach
- Chapter 14 Combined Retrosigmoid and Limited Anterior Petrosectomy (“Reverse Petrosectomy”)
- Chapter 15 Combined Suboccipital Craniotomy and Neck Dissection
- Chapter 16 Combined Petrosal Approach
- Chapter 17 Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach
- Chapter 18 Combined Multi-portal “Pull-Through” Keyhole Craniotomy
- Chapter 19 Combined Keyhole Craniotomies for Multifocal or Multiple Lesions
- Chapter 20 Combined Microsurgical and Endovascular Treatment of Cerebrovascular and Skull Base Pathology
- Chapter 21 Combined Transsylvian-Subtemporal Approach to Anterior Circulation and Basilar Apex Aneurysms
- Index
- References
Summary
The definition of combined approaches is broad. This can include multiple portals to the same or different region in the skull base. The “pull-through technique is a versatile, dual-keyhole approach developed to attach tumors that extend between the temporal and occipital poles. This approach is complex, as it entails a knowledge of the intricate anatomy and eloquent cortical and subcortical structures in this region. This combined approach is tailed to minimize peripheral brain damage while providing a direct route to the pathology. This chapter discusses the indications, the anatomy, the patient selection, and the surgical nuances of this approach.
- Type
- Chapter
- Information
- Integrated Management of Complex Intracranial LesionsOpen, Endoscopic, and Keyhole Techniques, pp. 187 - 195Publisher: Cambridge University PressPrint publication year: 2021
References
Ivanova, MV, Isaev, DY, Dragoy, OV, Akinina, YS, Petrushevskiy, AG, Fedina, ON, et al. Diffusion-tensor imaging of major white matter tracts and their role in language processing in aphasia. Cortex 2016; 85: 165–81.Google Scholar
Chang, EF, Raygor, KP, Berger, MS. Contemporary model of language organization: an overview for neurosurgeons. Journal of Neurosurgery 2015; 122(2): 250–61.CrossRefGoogle ScholarPubMed
Toba, MN, Migliaccio, R, Batrancourt, B, Bourlon, C, Duret, C, Pradat-Diehl, P, et al. Common brain networks for distinct deficits in visual neglect. A combined structural and tractography MRI approach. Neuropsychologia 2018; 115: 167–78.CrossRefGoogle ScholarPubMed
Vaessen, MJ, Saj, A, Lovblad, KO, Gschwind, M, Vuilleumier, P. Structural white-matter connections mediating distinct behavioral components of spatial neglect in right brain-damaged patients. Cortex 2016; 77: 54–68.Google Scholar
Urbanski, M, Thiebaut de Schotten, M, Rodrigo, S, Catani, M, Oppenheim, C, Touze, E, et al. Brain networks of spatial awareness: evidence from diffusion tensor imaging tractography. Journal of Neurology, Neurosurgery, and Psychiatry 2008; 79(5): 598–601.CrossRefGoogle ScholarPubMed
Ferrer, VP, Moura Neto, V, Mentlein, R. Glioma infiltration and extracellular matrix: key players and modulators. Glia 2018.CrossRefGoogle Scholar
Hervey-Jumper, SL, Li, J, Lau, D, Molinaro, AM, Perry, DW, Meng, L, et al. Awake craniotomy to maximize glioma resection: methods and technical nuances over a 27-year period. Journal of Neurosurgery 2015; 123(2): 325–39.CrossRefGoogle Scholar
Conner, AK, Burks, JD, Baker, CM, Smitherman, AD, Pryor, DP, Glenn, CA, et al. Method for temporal keyhole lobectomies in resection of low- and high-grade gliomas. Journal of Neurosurgery 2018; 128(5): 1388–95.CrossRefGoogle ScholarPubMed
Glenn, C, Conner, AK, Rahimi, M, Briggs, RG, Baker, C, Sughrue, M. Common disconnections in glioma surgery: an anatomic description. Cureus 2017; 9(10): e1778.Google ScholarPubMed
Charras, P, Herbet, G, Deverdun, J, de Champfleur, NM, Duffau, H, Bartolomeo, P, et al. Functional reorganization of the attentional networks in low-grade glioma patients: a longitudinal study. Cortex 2015; 63: 27–41.CrossRefGoogle ScholarPubMed
Mandonnet, E, Sarubbo, S, Duffau, H. Proposal of an optimized strategy for intraoperative testing of speech and language during awake mapping. Neurosurgical Review 2017; 40(1): 29–35.CrossRefGoogle ScholarPubMed
Martino, J, Vergani, F, Robles, SG, Duffau, H. New insights into the anatomic dissection of the temporal stem with special emphasis on the inferior fronto-occipital fasciculus: implications in surgical approach to left mesiotemporal and temporoinsular structures. Neurosurgery 2010; 66(3 Suppl Operative): 4–12.Google ScholarPubMed
Ghareeb, F, Duffau, H. Intractable epilepsy in paralimbic Word Health Organization Grade II gliomas: should the hippocampus be resected when not invaded by the tumor? Journal of Neurosurgery 2012; 116(6): 1226–34.CrossRefGoogle Scholar
Conner, AK, Baker, CM, Briggs, RG, Burks, JD, Glenn, CA, Smitherman, AD, et al. A technique for resecting occipital pole gliomas using a keyhole lobectomy. World Neurosurgery 2017; 106: 707–14.Google Scholar
Mori, S, Kaufmann, WE, Davatzikos, C, Stieltjes, B, Amodei, L, Fredericksen, K, et al. Imaging cortical association tracts in the human brain using diffusion-tensor-based axonal tracking. Magnetic Resonance in Medicine 2002; 47(2): 215–23.CrossRefGoogle ScholarPubMed
Baker, CM, Burks, JD, Briggs, RG, Conner, AK, Glenn, CA, Sali, G, et al. A connectomic atlas of the human cerebrum. Chapter 1: introduction, methods, and significance. Operative Neurosurgery 2018; 15(Suppl 1): s1–9.Google Scholar
Conner, AK, Briggs, RG, Rahimi, M, Sali, G, Baker, CM, Burks, JD, et al. A connectomic atlas of the human cerebrum. Chapter 10: tractographic description of the superior longitudinal fasciculus. Operative Neurosurgery 2018; 15(Suppl 1): s407–22.Google ScholarPubMed
Sali, G, Briggs, RG, Conner, AK, Rahimi, M, Baker, CM, Burks, JD, et al. A connectomic atlas of the human cerebrum. Chapter 11: tractographic description of the inferior longitudinal fasciculus. Operative Neurosurgery 2018; 15(Suppl 1): s423–8.Google Scholar
Baker, CM, Burks, JD, Briggs, RG, Stafford, J, Conner, AK, Glenn, CA, et al. A connectomic atlas of the human cerebrum. Chapter 9: the occipital lobe. Operative Neurosurgery 2018; 15(Suppl 1): S372–406.Google Scholar
Duffau, H. A new concept of diffuse (low-grade) glioma surgery. Advances and Technical Standards in Neurosurgery 2012; 38: 3–27.CrossRefGoogle ScholarPubMed
Hebb, AO, Yang, T, Silbergeld, DL. The sub-pial resection technique for intrinsic tumor surgery. Surgical Neurology International 2011; 2: 180.Google Scholar