Gravity-aided trans-falcine removal of a contralateral subcortical ependymoma

P. Ferroli, A. Russo, E. Albanese, G. Tringali, G. Broggi

Research output: Contribution to journalArticlepeer-review

Abstract

The transfalcine approach is a variant of the interhemispheric approach which provides exposure of the medial surface of the contralateral hemisphere through a falx incision. Gravity can be used as a natural retractor. We report a 32-year-old woman with an ependymoma of the medial surface of the left Rolandic area that was completely removed through a contralateral gravity-aided, image-guided transfalcine approach. The contralateral transfalcine approach can be a good option for lesions presenting at the interhemispheric fissure especially those associated with perilesional oedema and avoids the risks of a transparenchymal dissection and retraction of a swollen hemisphere.

Original languageEnglish
Pages (from-to)1147-1150
Number of pages4
JournalActa Neurochirurgica
Volume149
Issue number11
DOIs
Publication statusPublished - Nov 2007

Keywords

  • Contralateral transfalcine approach
  • Gravity-aided retraction
  • Image-guidance

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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