The endoscope-assisted contralateral paramedian approach to large falcine meningiomas.

Roser, Florian; Rigante, Luigi · Acta Neurochir (Wien) · 2018

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Abstract

Resection of large falcine meningiomas can be challenging as overlaying cortical brain is endangered during the surgical approach. We describe the endoscope-assisted contralateral paramedian approach to large left-falcine meningiomas to avoid retraction of the ipsilateral thin layer of eloquent brain cortex. The contralateral paramedian approach enables complete tumor resection with endoscopic-assisted removal of tumor remnants in the superior aspect of the resection cavity, sparing any manipulation of ipsilateral brain tissue.

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