Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Jun 2014
Review Case ReportsEndoscopic-assisted microsurgical techniques at the craniovertebral junction: 4 illustrative cases and literature review.
Endoscopic-assisted microsurgery (EAM) techniques are employed to improve visualization of the surgical field while minimizing brain retraction and trauma to neurovascular structures. There have been several reports in the literature on the indications and advantages of endoscopic-assisted techniques when operating at the craniovertebral junction (CVJ). The purpose of this study was to present illustrative cases and to perform a literature review of endoscopic-assisted microsurgical techniques at the CVJ. ⋯ EAM techniques can improve illumination and visualization of the surgical field at the CVJ. In addition, the EAM techniques can help to minimize the need for brain retraction or extensive exposures. Utilization of both the endoscope and the microscope allows the surgeon to benefit from the advantages of each modality.