Minimally invasive neurosurgery : MIN
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Minim Invasive Neurosurg · Apr 2009
Case ReportsTechnical considerations of endoscopic septostomy using a biportal approach in a case of hydrocephalus associated with tuberous sclerosis.
We report herein the technical considerations for endoscopic septostomy in a case of hydrocephalus associated with tuberous sclerosis. ⋯ A biportal approach such as the dual endoscopic technique is useful in the treatment of complicated intraventricular lesions with loss of midline structures.
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Minim Invasive Neurosurg · Apr 2009
Case ReportsImage-guided keyhole evacuation of spontaneous supratentorial intracerebral hemorrhage.
Treatment of spontaneous supratentorial intracerebral hemorrhage (SICH) is controversial. This study aims to evaluate the outcome and invasiveness of one surgical approach that provides complete evacuation of SICH, the image-guided keyhole evacuation. ⋯ The image-guided keyhole approach allowed prompt evacuation of SICH and resulted in a high rate of functional recovery and low mortality. This is a minimally invasive technique that is highly effective in immediate and complete hematoma evacuation.
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Minim Invasive Neurosurg · Apr 2009
Case ReportsIntegrated pre- and intraoperative imaging in a patient with an arteriovenous malformation located in eloquent cortex.
The use of integrated pre- and intraoperative imaging may be useful when resecting brain lesions in close proximity to eloquent areas, such as the primary motor cortex and language cortices. ⋯ The AVM was carefully resected with the aid of the above-mentioned imaging techniques, and the intuitive usefulness of the techniques was further substantiated by the rewarding postoperative outcome.