Exoscope aided trans-sulcal minimally invasive parafascicular resection of a paediatric brainstem pilocytic astrocytoma using a tubular retractor system.

Autor: Sweeney, Kieron J., Amoo, Michael, Kilbride, Ronan, Jallo, George I., Javadpour, Mohsen
Předmět:
Zdroj: British Journal of Neurosurgery; Jun2024, Vol. 38 Issue 3, p746-751, 6p
Abstrakt: The surgical management of brainstem glioma is challenging and has significant morbidity. Advances in surgical armamentarium has presented the opportunity to tackle these lesions. We present the case of a paediatric patient with a 2.3cm midbrain pilocytic astrocytoma. With the aid of tractography, neuro-navigation, 3-dimensional exoscope and a tubular retractor, near total resection of the tumour was achieved through a trans-sulcal para-fascicular approach without permanent injury to the corticospinal tract. To our knowledge this is the first report of a brainstem tumour resected using this approach and demonstrates what can be achieved with synergistic utility of evolving technologies in neurosurgery. [ABSTRACT FROM AUTHOR]
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